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Csb Of East Central Ga
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Blythe, Georgia
NPI 1043541709

Csb Of East Central Ga is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Augusta, GA. Csb Of East Central Ga practices in Blythe, GA. The NPI Number for Csb Of East Central Ga is 1043541709 and holds a License No. (Georgia).

The current practice location address for Csb Of East Central Ga is 4064 Bath Edie Rd, Blythe, GA and can be reached out via phone at 706-432-4858 and via fax at 706-432-3780.

Location: 4064 Bath Edie Rd, Blythe, GA, 30906-3815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043541709
Provider Name
Csb Of East Central Ga
Credential
Provider Entity Type
Organization
Address
4064 Bath Edie Rd, Blythe, GA, 30906-3815
Phone Number
706-432-4858
Fax Number
706-432-3780
Provider Enumeration Date
01/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000605833M 05 GA
institution
Provider Business Practice Location Address Details
Address
4064 Bath Edie Rd
City
Blythe
State
Georgia
Zip
30805-3600
Phone Number
706-432-4858
Fax Number
706-432-3780
person
Provider Business Mailing Address Details
Address
4064 Bath Edie Rd
City
Blythe
State
Georgia
Zip
30805-3600
Phone Number
706-432-4858
Fax Number
706-432-3780
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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