| Douglas County Community Services Board | |
|
6155 Cooper St Douglasville GA 30134-1901 | |
| (770) 499-2422 | |
| Not Available |
| Full Name | Douglas County Community Services Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6155 Cooper St, Douglasville, Georgia |
| Authorized Official Name and Position | Tod Citron (CEP) |
| Authorized Official Contact | 7704295000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas County Community Services Board 3830 S Cobb Dr Se Suite 300 Smyrna GA 30080-5532 Ph: (770) 429-5000 | Douglas County Community Services Board 6155 Cooper St Douglasville GA 30134-1901 Ph: (770) 499-2422 |
| NPI Number | 1306988639 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306988639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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