Organization · Type 2 NPI

South Georgia CSB

Adolescent and Children Mental Health Clinic/Center · Tifton, GA

NPI number 1942374343 Active

Practice location

340 Tifton Eldorado Road
Tifton, GA 31794

Fax (229) 386-7099

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

About NPI 1942374343

South Georgia CSB's National Provider Identifier is 1942374343, issued on Nov 17, 2006. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Tifton, GA. The record was last updated on Mar 17, 2010.