| Mcintosh Trail Mh Mr Sa Csb | |
|
136 N Hill St Griffin GA 30223-3335 | |
| (770) 229-3072 | |
| Not Available |
| Full Name | Mcintosh Trail Mh Mr Sa Csb |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 136 N Hill St, Griffin, 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 Mh Mr Sa Csb 1501a Kalamazoo Dr Po Box 1320 Griffin GA 30224-3919 Ph: (770) 358-8250 | Mcintosh Trail Mh Mr Sa Csb 136 N Hill St Griffin GA 30223-3335 Ph: (770) 229-3072 |
| NPI Number | 1477721041 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 03/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477721041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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