NPI:
1871667675
Provider Name:
SOUTH GEORGIA CSB
Doing Business As: PROJECT LIGHT
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1108 S PATTERSON ST
VALDOSTA, GA
ZIP 31601
Phone:
(229) 245-6410
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SOUTH GEORGIA CSB is a rehabilitation and substance use disorder clinic center in Valdosta, GA. SOUTH GEORGIA CSB NPI is 1871667675. The provider is registered as an organization entity type.
The provider Is Doing Business As Project Light.
The provider's business location address is:
1108 S PATTERSON ST
VALDOSTA, GA
ZIP 31601-348
Phone: (229) 245-6410
Fax: (229) 293-6242
The provider's authorized official is Sue Gupton .
The authorized official title is Chief Executive Officer and has the following contact phone number (229) 245-2379.
The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.