NPI 1407395023
Csb of East Cental Ga
Practice location
- Address
- 3535 Biltmore Pl, Augusta, GA 30906-4503
- Phone
- (706) 386-5235
- Fax
- (706) 432-3861
- Mailing address
- 3421 Mike Padgett Hwy, Augusta, GA 30906-3815
Authorised official
- Name
- Heather Dubose
- Title
- Residential Manager
- Phone
- (706) 432-3798
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1407395023
- Entity type
- Organization
- NPI issued
- 15 Feb 2017
- Record last updated
- 15 Feb 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.