Mcintosh Trail Csb | |
136 N Hill St Griffin GA 30223-3335 | |
(770) 358-8470 | |
Not Available |
Full Name | Mcintosh Trail Csb |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 136 N Hill St, Griffin, Georgia |
Authorized Official Name and Position | Linda P. Robinson (ADDICTIVE DISEASE COORDINATOR) |
Authorized Official Contact | 7703588470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mcintosh Trail Csb 1436 Catherine St Decatur GA 30030-4505 Ph: (404) 377-0541 | Mcintosh Trail Csb 136 N Hill St Griffin GA 30223-3335 Ph: (770) 358-8470 |
NPI Number | 1649495268 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 07/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649495268 | NPI | - | NPPES |
1000 | Other | GA | CERTIFIEDADDICTIONCOUN II |
000427 | Other | GA | LIC.CLINICALSOCIALWORKER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 000427 (Georgia) | Primary |
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