Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pineland MH/MR/SA Csb

Organization Clinic/Center · NPI 1760658587

Pineland MH/MR/SA Csb is a Clinic/Center in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008

Practice location Address checks out

901 N St W
Vidalia, GA 30474-3503
Phone: (912) 537-9316
Fax: (912) 537-9915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence LPN068072 (GA)

Record details

NPI number1760658587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official June Dipolito — Executive Director · (912) 764-6906
NPI enumeratedMay 1, 2008
Last updated in NPPESMay 1, 2008
Mailing address5 W Altman St, Statesboro, GA 30458-5212

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