| Csb Of East Central Georgia | |
|
124 Gordon St Washington GA 30673-1602 | |
| (706) 678-1395 | |
| (706) 432-3780 |
| Full Name | Csb Of East Central Georgia |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 124 Gordon St, Washington, 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 |
|---|---|
| Csb Of East Central Georgia 124 Gordon St Washington GA 30673-1602 Ph: (706) 792-7267 | Csb Of East Central Georgia 124 Gordon St Washington GA 30673-1602 Ph: (706) 678-1395 |
| NPI Number | 1609942119 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609942119 | NPI | - | NPPES |
| 000606317F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Georgia) | Primary |
Fad Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Spring St, Washington, GA 30673 Phone: 706-678-5667 Fax: 888-495-7489 |