OrganizationActive
South Georgia Csb
NPI 1871667675 · Substance Use Disorder Rehabilitation Clinic/Center · Valdosta, GA
Provider details
- NPI number
- 1871667675
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sue Gupton, Chief Executive Officer(229) 245-2379
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1108 S Patterson St
Valdosta, GA 31601-6348
Phone: (229) 245-6410
Fax: (229) 293-6242
Street-level locationGet directions
Mailing address
1108 S Patterson St
Valdosta, GA 31601-6348
Other names (DBA / former)
- Doing business as
- Project Light
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.