Organization · Type 2 NPI

Community Service Board of East Central Georgia

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

NPI number 1164995965 Active

Practice location

1908 Driftwood Dr
Augusta, GA 30909-4113

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 1164995965

Community Service Board of East Central Georgia's National Provider Identifier is 1164995965, issued on Jan 4, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Augusta, GA. The record was last updated on Jan 4, 2019.