Christine Smith
Organization Active NPI Community/Behavioral Health Agency · Waycross, GA
NPI 1881966018 · NPPES record last updated Feb 3, 2012
Key facts
- NPI
- 1881966018
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CHRISTINE SMITH
- Practice address
- 908 Cedar St
Waycross, GA 31501-6440 - Phone
- (912) 283-7239
- Fax
- (912) 449-7060
- NPI assigned
- Feb 3, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- SATILLA COMMUNITY SERVICES
Authorized official
- Name
- Bobby Brown
- Title
- Ceo
- Phone
- (912) 449-7111
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Supportive Employment
- Part of
- Supportive Employment
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
908 Cedar St
Waycross, GA 31501-6440
Mailing address
1007 Mary St
Waycross, GA 31503-3823
Phone (912) 449-7111
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All providers in Waycross, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.