Organization · Type 2 NPI

South Georgia CSB

Developmental Disabilities Clinic/Center · Quitman, GA

NPI number 1154494359 Active

Practice location

1200 Roundtree St
Quitman, GA 31643-3712

Fax (229) 263-4925

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

About NPI 1154494359

South Georgia CSB's National Provider Identifier is 1154494359, issued on Nov 16, 2006. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Quitman, GA. The record was last updated on Dec 15, 2008.