Organization · Type 2 NPI

Community Service Board of East Central Georgia

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hephzibah, GA

NPI number 1013474915 Active

Practice location

1715 Lawerence Rd
Hephzibah, GA 30815-4445

Call (706) 432-4837 Map

Mailing address

3421 Mike Padgett Hwy
Augusta, GA 30906-3815

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1013474915

Community Service Board of East Central Georgia's National Provider Identifier is 1013474915, issued on Feb 27, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hephzibah, GA. The record was last updated on Feb 27, 2019.