Organization · Type 2 NPI

CSB of East Central Ga

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Augusta, GA

NPI number 1053642686 Active

Practice location

2115 Ashley Dr
Augusta, GA 30906-5085

Fax (706) 432-3780

Mailing address

3421 Mike Padgett Hwy
Augusta, GA 30906-3815

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone 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.

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About NPI 1053642686

CSB of East Central Ga's National Provider Identifier is 1053642686, issued on Jan 21, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Augusta, GA. The record was last updated on Jan 21, 2010.