| NPI | 1104255256 |
|---|---|
| Other Name | CSB OF MIDDLE GEORGIA |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA REID Operations Analyst 478-272-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 084851) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |