| Highland Rivers Community Service Board | |
|
3671 Shallowford Rd Marietta GA 30062-4185 | |
| (706) 270-5033 | |
| (706) 370-7749 |
| Full Name | Highland Rivers Community Service Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3671 Shallowford Rd, Marietta, Georgia |
| Authorized Official Name and Position | Robin Whitlow (BILLING MANAGER) |
| Authorized Official Contact | 7062705033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Rivers Community Service Board 1401 Applewood Dr Ste 1 Dalton GA 30720-2699 Ph: (706) 270-5033 | Highland Rivers Community Service Board 3671 Shallowford Rd Marietta GA 30062-4185 Ph: (706) 270-5033 |
| NPI Number | 1992057962 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992057962 | NPI | - | NPPES |
| 000936559CH | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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