Mcintosh Trail Community Service Board in Griffin - Community/behavioral Health
Mcintosh Trail Community Service Board - NPI 1336317270
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 1336317270. The last update date is 2015-08-11.
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 | 1336317270 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2015-08-11 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000601609J | GA | -- |
Post Comment/ Review Below
What is the Mcintosh Trail Community Service Board's unique identification number?
The Mcintosh Trail Community Service Board has been assigned the NPI (National Provider Identifier) Number 1336317270 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mcintosh Trail Community Service Board's facilities are geographically located?
The facilities of Mcintosh Trail Community Service Board are physically situated at the following location: 1501A Kalamazoo Dr, Griffin, GA, 302243919.
What is the Mcintosh Trail Community Service Board's specialty and taxonomy code?
The Mcintosh Trail Community Service Board's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Mcintosh Trail Community Service Board receive the assignment of its 1336317270 from the Centers for Medicare & Medicaid Services?
The Mcintosh Trail Community Service Board was issued its 1336317270 by the Centers for Medicare & Medicaid Services on 2008-02-13.
When was the information regarding Mcintosh Trail Community Service Board most recently updated?
The details pertaining to the Mcintosh Trail Community Service Board, including its address, specialty, and other relevant information, were last refreshed on 2015-08-11.