Csb Of East Central Ga

LBN: Csb Of East Central Ga
Csb Of East Central Ga is an health care organization with primary practice located at 5101 Parnell Way , Martinez GA 30907-8896. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Csb Of East Central Ga can be contacted via phone (706) 432-4837, or through Prior, Michele via phone (706) 432-4837.

Contact Information

Primary practice address
5101 Parnell Way Martinez GA 30907-8896
Phone: (706) 432-4837
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prior, Michele
Phone: (706) 432-4837

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1467013821
LBN Legal business name Csb Of East Central Ga
DBA Doing business as
Authorized official Prior, Michele
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2019
Last updated Jun 26th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467013821 NPPES
Georgia MEDICAID 000605833T

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