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Georgia Pines Community Service Board

Organization Active NPI Community/Behavioral Health Agency · Pelham, GA

NPI 1104094358 · NPPES record last updated Feb 11, 2008

Key facts

NPI
1104094358
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
GEORGIA PINES COMMUNITY SERVICE BOARD
Practice address
339 Pride St
Pelham, GA 31779-5370
Phone
(229) 225-4335
Fax
(229) 225-4374
NPI assigned
Feb 11, 2008
Organization subpart
No

Authorized official

Name
Robert H Jones
Title
Executive Director
Phone
(229) 225-4373

Corporate family (same tax ID) 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

National Provider Directory

Tax ID family
Georgia Pines Community Service Board (35 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

339 Pride St
Pelham, GA 31779-5370

Mailing address

1102 Smith Ave
Thomasville, GA 31792-5739
Phone (229) 225-4335

Other providers in Pelham, GA

All providers in Pelham, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.