NPI 1083154553

Csb of East Central Ga

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Augusta, GA

Practice location

Address: 3126 Richmond Hill Rd, Augusta, GA 30906-4754
Phone: (706) 798-1421
Fax: (706) 432-3861
Mailing address: 3421 Mike Padgett Hwy, Augusta, GA 30906-3815

Authorised official

Name: Heather Dubose
Title: Residential Manager
Phone: (706) 432-4928

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Georgia →

Registry record

NPI: 1083154553
Entity type: Organization
NPI issued: 3 Mar 2017
Record last updated: 3 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.