Whalio Doctors

NPI 1164995965

Community Service Board of East Central Georgia

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

Practice location

Address
1908 Driftwood Dr, Augusta, GA 30909-4113
Phone
(706) 432-4837
Mailing address
3421 Mike Padgett Hwy, Augusta, GA 30906-3815

Authorised official

Name
Michele Prior
Title
Billing Manager
Phone
(706) 432-4837

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1164995965
Entity type
Organization
NPI issued
4 Jan 2019
Record last updated
4 Jan 2019

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.