Organization · Type 2 NPI
CSB of East Central Ga
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Blythe, GA
Practice location
4064 Bath Edie Rd
Blythe, GA 30805-3600
Fax (706) 432-3780
Mailing address
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in Blythe
About NPI 1043541709
CSB of East Central Ga's National Provider Identifier is 1043541709, issued on Jan 20, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Blythe, GA. The record was last updated on Jan 20, 2010.