| Csi Behavioral Company Llc | |
|
1528 Telfair St Dublin GA 31021-3908 | |
| (478) 304-1244 | |
| (478) 304-1254 |
| Full Name | Csi Behavioral Company Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1528 Telfair St, Dublin, Georgia |
| Authorized Official Name and Position | Vangela Jawan Hines (CEO/OWNER) |
| Authorized Official Contact | 4782786979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csi Behavioral Company Llc 1528 Telfair St Dublin GA 31021-3908 Ph: (478) 304-1244 | Csi Behavioral Company Llc 1528 Telfair St Dublin GA 31021-3908 Ph: (478) 304-1244 |
| NPI Number | 1821223074 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 09/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821223074 | NPI | - | NPPES |
| 827333708A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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