| Csb Clubhouse | |
|
1008 Hillcrest Pkwy Dublin GA 31021-4262 | |
| (478) 272-1190 | |
| (478) 274-7628 |
| Full Name | Csb Clubhouse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1008 Hillcrest Pkwy, Dublin, Georgia |
| Authorized Official Name and Position | Robert K Moran (CFO) |
| Authorized Official Contact | 4782721190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csb Clubhouse 1008 Hillcrest Pkwy Dublin GA 31021-4262 Ph: (478) 272-1190 | Csb Clubhouse 1008 Hillcrest Pkwy Dublin GA 31021-4262 Ph: (478) 272-1190 |
| NPI Number | 1073996245 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073996245 | NPI | - | NPPES |
| 300030912A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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