| Community Service Board Of Middle Georgia | |
|
621 Plaza Ave Eastman GA 31023-6753 | |
| (478) 448-1040 | |
| Not Available |
| Full Name | Community Service Board Of Middle Georgia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 621 Plaza Ave, Eastman, Georgia |
| Authorized Official Name and Position | Robert Keith Moran (CFO) |
| Authorized Official Contact | 4782721190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Service Board Of Middle Georgia 621 Plaza Ave Eastman GA 31023-6753 Ph: () - | Community Service Board Of Middle Georgia 621 Plaza Ave Eastman GA 31023-6753 Ph: (478) 448-1040 |
| NPI Number | 1164555744 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164555744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Medical Center Dr, Eastman, GA 31023 Phone: 478-374-6835 | |
Community Service Board Of Middle Ga Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Plaza Ave, Eastman, GA 31023 Phone: 478-448-1040 Fax: 478-374-0124 | |
Dodge County Hospital Authority Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 901 Griffin Ave, Eastman, GA 31023 Phone: 478-448-4000 Fax: 478-448-4088 |