OrganizationActive
South Georgia Csb
NPI 1942374343 · Adolescent and Children Mental Health Clinic/Center · Tifton, GA
Provider details
- NPI number
- 1942374343
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Powell, Chief Executive Officer(229) 671-6101
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
340 Tifton Eldorado Road
Tifton, GA 31794
Phone: (229) 391-2350
Fax: (229) 386-7099
Approximate (ZIP-level) locationGet directions
Mailing address
340 Tifton Eldorado Road
Tifton, GA 31794
Other names (DBA / former)
- Doing business as
- Tift C&a Outpatient Services
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2010-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.