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Community Service Board of Middle Georgia

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

NPI 1285155408 · NPPES record last updated Jun 28, 2017

Key facts

NPI
1285155408
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Practice address
1202 Old Sylvania Rd
Millen, GA 30442-6758
Phone
(478) 982-5954
Fax
(478) 982-3086
NPI assigned
Jun 28, 2017
Organization subpart
No

Authorized official

Name
Keith Moran
Title
Cfo
Phone
(478) 275-6811

Corporate family (same tax ID) 29

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

View all 29

National Provider Directory

Tax ID family
Community Service Board of Middle Georgia (30 organizations share this tax ID)

Locations

1202 Old Sylvania Rd
Millen, GA 30442
Phone (478) 982-5954

Specialties & licenses

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

Addresses

Primary practice location

1202 Old Sylvania Rd
Millen, GA 30442-6758

Mailing address

223 N Anderson Dr
Swainsboro, GA 30401-4440
Phone (478) 289-2683

Other identifiers

IdentifierTypeStateIssuer
000709288RMedicaidGA

Other providers in Millen, GA

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

Sources for this page

Verify at the official NPI Registry.