| NPI | 1700276441 |
|---|---|
| Doing Business As | COMMUNITY CARE SERVICES PROGRAM |
| Entity Type | Organization |
| Authorized Contact | STACY COOPER District Billing De PT COO Rdinator 912-262-2347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |