Douglas County Community Services Board | |
7205 North County Line Road Lithia Springs GA 30122-2133 | |
(770) 429-5000 | |
Not Available |
Full Name | Douglas County Community Services Board |
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Speciality | Community/behavioral Health |
Location | 7205 North County Line Road, Lithia Springs, Georgia |
Authorized Official Name and Position | Tod Citron (CEO) |
Authorized Official Contact | 7704295000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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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 7205 North County Line Road Lithia Springs GA 30122-2133 Ph: (770) 429-5000 |
NPI Number | 1992845929 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992845929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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