Mcintosh Trail Csb | |
101 Owens Ln Po Box E Barnesville GA 30204-1438 | |
(770) 358-5252 | |
Not Available |
Full Name | Mcintosh Trail Csb |
---|---|
Speciality | Community/behavioral Health |
Location | 101 Owens Ln, Barnesville, Georgia |
Authorized Official Name and Position | Pamela Mccollum (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7703588251 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mcintosh Trail Csb 1501a Kalamazoo Dr Po Box 1320 Griffin GA 30224-3919 Ph: (770) 358-8250 | Mcintosh Trail Csb 101 Owens Ln Po Box E Barnesville GA 30204-1438 Ph: (770) 358-5252 |
NPI Number | 1841478013 |
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Provider Enumeration Date | 02/09/2008 |
Last Update Date | 12/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841478013 | NPI | - | NPPES |
000851826C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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