| Highland Rivers Polk Op Office And Crisis Stabilization Program | |
|
180 Water Oak Dr Cedartown GA 30125-2095 | |
| (770) 748-2225 | |
| (770) 749-0939 |
| Full Name | Highland Rivers Polk Op Office And Crisis Stabilization Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 180 Water Oak Dr, Cedartown, 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 Polk Op Office And Crisis Stabilization Program 1401 Applewood Drive Suite 1 Dalton GA 30720-2699 Ph: (706) 270-5002 | Highland Rivers Polk Op Office And Crisis Stabilization Program 180 Water Oak Dr Cedartown GA 30125-2095 Ph: (770) 748-2225 |
| NPI Number | 1689737033 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689737033 | NPI | - | NPPES |
| 1447256243 | Other | GA | ORGANIZATIONAL MASTER NPI |
| 000759448J | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
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