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South Georgia Csb
Developmental Disabilities Clinic/Center in Adel, Georgia
NPI 1942374350

South Georgia Csb is a Developmental Disabilities Clinic/Center based in Adel, GA and is specialized in Developmental Disabilities. South Georgia Csb practices in Adel, GA. The NPI Number for South Georgia Csb is 1942374350 and holds a License No. (Georgia).

The current practice location address for South Georgia Csb is 203 Industrial Park Drive, Adel, GA and can be reached out via phone at 229-896-7994 and via fax at 229-896-3709.

Location: 203 Industrial Park Drive, Adel, GA, 31620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942374350
Provider Name
South Georgia Csb
Credential
Provider Entity Type
Organization
Address
203 Industrial Park Drive, Adel, GA, 31620
Phone Number
229-896-7994
Fax Number
229-896-3709
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000607032A 05 GA
000607032W 05 GA
institution
Provider Business Practice Location Address Details
Address
203 Industrial Park Drive
City
Adel
State
Georgia
Zip
31620
Phone Number
229-896-7994
Fax Number
229-896-3709
person
Provider Business Mailing Address Details
Address
203 Industrial Park Drive
City
Adel
State
Georgia
Zip
31620
Phone Number
229-896-7994
Fax Number
229-896-3709
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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