| Community Service Board Of Middle Georgia | |
|
293 Little Canoochee Creek Rd Twin City GA 30471-4123 | |
| (478) 289-2683 | |
| Not Available |
| Full Name | Community Service Board Of Middle Georgia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 293 Little Canoochee Creek Rd, Twin City, Georgia |
| Authorized Official Name and Position | Keith Moran (CFO) |
| Authorized Official Contact | 4782756811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Service Board Of Middle Georgia 223 N Anderson Dr Swainsboro GA 30401-4440 Ph: (478) 289-2683 | Community Service Board Of Middle Georgia 293 Little Canoochee Creek Rd Twin City GA 30471-4123 Ph: (478) 289-2683 |
| NPI Number | 1710407176 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 06/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710407176 | NPI | - | NPPES |
| 000606383Z | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 Little Canoochee Creek Rd, Twin City, GA 30471 Phone: 478-289-2683 |