MIDTOWN MH-RESIDENTIAL
NPI 1053624585
Community Based Residential Treatment Facility, Mental Illness in Valdosta, GA

Q: What is South Georgia Csb's NPI number?

The NPI number for South Georgia Csb is 1053624585. It was assigned to this organization in the NPPES registry on July 26, 2010. The provider is doing business as Midtown Mh-Residential.

Q: What is South Georgia Csb's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for South Georgia Csb was last updated on July 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2010

1209 N TOOMBS ST, VALDOSTA, GA 31601(229) 671-4255 Get Directions Write a Review

NPPES record last updated: July 26, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Midtown Mh-residential NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDTOWN MH-RESIDENTIAL (NPI 1053624585) is a healthcare organization registered as a community based residential treatment facility, mental illness in Valdosta, Georgia and active in the NPI registry since July 2010. The organization lists Brenda Harrell, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1053624585

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameSOUTH GEORGIA CSB

Location Address1209 N TOOMBS STValdosta, GA 31601-3931

Mailing Address1209 N Toombs StValdosta, GA 31601-3931 · (229) 671-4255

Phone(229) 671-4255

Organization SubpartNo

Authorized OfficialBrenda HarrellChief Financial Officer · (229) 671-6100

Enumeration DateJuly 26, 2010

✔ NPI 1053624585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

1209 N TOOMBS ST, Valdosta, GA 31601

Open in Google Maps ↗

Other Names 1

Doing Business AsMidtown Mh-residential

Other Identifiers 1

MedicaidGRP2255GA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Georgia Csb's NPI number?

The NPI number for South Georgia Csb is 1053624585. It was assigned to this organization in the NPPES registry on July 26, 2010. The provider is doing business as Midtown Mh-Residential.

Where is South Georgia Csb located?

South Georgia Csb is located at 1209 N Toombs St, Valdosta, GA 31601. The listed phone number is (229) 671-4255.

What is South Georgia Csb's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for South Georgia Csb was last updated on July 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.