Mcintosh Trail Community Service Board in Griffin - Community/behavioral Health
Mcintosh Trail Community Service Board - NPI 1003085473
Mcintosh Trail Community Service Board is a Community/behavioral Health in Griffin, Georgia. Mcintosh Trail Community Service Board practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Mcintosh Trail Community Service Board is 1003085473. The last update date is 2008-02-29.
Mcintosh Trail Community Service Board's current location address is 1501a Kalamazoo Dr, Griffin, Georgia. You can contact this provider via phone number 7703588250 and fax number 7702293223. The mailing address for Mcintosh Trail Community Service Board is 1501a Kalamazoo Dr, Griffin, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mcintosh Trail Community Service Board |
|---|---|
| Address | 1501a Kalamazoo Dr, Griffin, Georgia |
| Phone Number | 7703588250 |
| Fax Number | 7702293223 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mccollum Pamela |
| Telephone Number | 7703588251 |
NPI Number Detail
| NPI Number | 1003085473 |
|---|---|
| Provider Enumeration Date | 2008-02-29 |
| Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
| Address | 1501a Kalamazoo Dr |
|---|---|
| City | Griffin |
| State | Georgia (GA) |
| Post Code | 302243919 |
| Phone Number | 7703588250 |
| Fax Number | 7702293223 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the Mcintosh Trail Community Service Board's 1003085473?
The Mcintosh Trail Community Service Board's NPI (National Provider Identifier) Number is 1003085473. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mcintosh Trail Community Service Board is geographically located?
The Mcintosh Trail Community Service Board is physically situated at the following location: 1501A Kalamazoo Dr, Griffin, GA, 302243919.
What is Mcintosh Trail Community Service Board's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mcintosh Trail Community Service Board's specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003085473 to Mcintosh Trail Community Service Board?
The Centers for Medicare & Medicaid Services assigned the 1003085473 to Mcintosh Trail Community Service Board on 2008-02-29.
As of what date were the details pertaining to Mcintosh Trail Community Service Board last refreshed?
The information related to the Mcintosh Trail Community Service Board, including its address, specialty, and other relevant details, was last updated on 2008-02-29.