| Highland Rivers Cherokee C & A Office | |
|
191 Lamar Haley Pkwy Canton GA 30114-8019 | |
| (770) 704-1600 | |
| (770) 704-1610 |
| Full Name | Highland Rivers Cherokee C & A Office |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 191 Lamar Haley Pkwy, Canton, Georgia |
| Authorized Official Name and Position | Jason Bearden (CEO) |
| Authorized Official Contact | 7062705000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Rivers Cherokee C & A Office 1401 Applewood Drive Suite 1 Dalton GA 30720-2699 Ph: (706) 270-5002 | Highland Rivers Cherokee C & A Office 191 Lamar Haley Pkwy Canton GA 30114-8019 Ph: (770) 704-1600 |
| NPI Number | 1669536991 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669536991 | NPI | - | NPPES |
| 1447256243 | Other | GA | ORGANIZATION MASTER NPI |
| 000759448C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Highland Rivers Cherokee Office Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Lamar Haley Dr, Canton, GA 30114 Phone: 770-704-1600 Fax: 770-704-1610 | |
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