South Georgia Community Service Board

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1619421138

South Georgia Community Service Board is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in: GA
In the registry since: 2016

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Practice location Address checks out

1308 W Park Ave
Valdosta, GA 31602-2722
Phone: (229) 671-6100
Fax: (229) 671-6774

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

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X (GA)

Record details

NPI number	1619421138
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Jaymal Patel — Ceo · (229) 671-6140
Other names	Behavioral Health Services Of South Georgia
NPI enumerated	August 12, 2016
Last updated in NPPES	September 12, 2016
Mailing address	3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910