| Csp Program | |
|
3405 Building #15 Augusta GA 30906-3815 | |
| (706) 792-7267 | |
| (706) 432-3780 |
| Full Name | Csp Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3405 Building #15, Augusta, Georgia |
| Authorized Official Name and Position | Wanda L. Jessie (BILLING MANAGER) |
| Authorized Official Contact | 7064324858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csp Program 3405 Building # 15 Mike Padgett Hwy. Augusta GA 30906-3815 Ph: (706) 792-7267 | Csp Program 3405 Building #15 Augusta GA 30906-3815 Ph: (706) 792-7267 |
| NPI Number | 1285700385 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285700385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Georgia) | Primary |
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