| Community Service Board Of Middle Ga | |
|
621 Plaza Ave Eastman GA 31023-6753 | |
| (478) 448-1040 | |
| (478) 374-0124 |
| Full Name | Community Service Board Of Middle Ga |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 621 Plaza Ave, Eastman, Georgia |
| Authorized Official Name and Position | Brandy M Williams (BEHAVIOR HEALTH PROVIDER) |
| Authorized Official Contact | 4784481040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Service Board Of Middle Ga 621 Plaza Ave Eastman GA 31023-6753 Ph: (478) 448-1040 | Community Service Board Of Middle Ga 621 Plaza Ave Eastman GA 31023-6753 Ph: (478) 448-1040 |
| NPI Number | 1548712284 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548712284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Eastman Day Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Medical Center Dr, Eastman, GA 31023 Phone: 478-374-6835 | |
Eastman Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Plaza Ave, Eastman, GA 31023 Phone: 478-448-1040 | |
Dodge County Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 901 Griffin Ave, Eastman, GA 31023 Phone: 478-448-4000 Fax: 478-448-4088 |