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South Georgia Csb
Adolescent and Children Mental Health Clinic/Center in Tifton, Georgia
NPI 1942374343

South Georgia Csb is an Adolescent and Children Mental Health Clinic/Center based in Tifton, GA and is specialized in Adolescent and Children Mental Health. South Georgia Csb practices in Tifton, GA. The NPI Number for South Georgia Csb is 1942374343 and holds a License No. (Georgia).

The current practice location address for South Georgia Csb is 340 Tifton Eldorado Road, Tifton, GA and can be reached out via phone at 229-391-2350 and via fax at 229-386-7099.

Location: 340 Tifton Eldorado Road, Tifton, GA, 31794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942374343
Provider Name
South Georgia Csb
Credential
Provider Entity Type
Organization
Address
340 Tifton Eldorado Road, Tifton, GA, 31794
Phone Number
229-391-2350
Fax Number
229-386-7099
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
777050079A 05 GA
institution
Provider Business Practice Location Address Details
Address
340 Tifton Eldorado Road
City
Tifton
State
Georgia
Zip
31794
Phone Number
229-391-2350
Fax Number
229-386-7099
person
Provider Business Mailing Address Details
Address
340 Tifton Eldorado Road
City
Tifton
State
Georgia
Zip
31794
Phone Number
229-391-2350
Fax Number
229-386-7099
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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