Mcintosh Trail Csb in Jackson - Community/behavioral Health
Mcintosh Trail Csb - NPI 1194993030
Mcintosh Trail Csb is a Community/behavioral Health in Jackson, Georgia. Mcintosh Trail Csb practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Mcintosh Trail Csb is 1194993030. The last update date is 2008-02-13.
Mcintosh Trail Csb's current location address is 415 Ernest Biles Dr, Jackson, Georgia. You can contact this provider via phone number 7707755129. The mailing address for Mcintosh Trail Csb is 415 Ernest Biles Dr, Jackson, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mcintosh Trail Csb |
|---|---|
| Address | 415 Ernest Biles Dr, Jackson, Georgia |
| Phone Number | 7707755129 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mccollum Pamela |
| Telephone Number | 7703588251 |
NPI Number Detail
| NPI Number | 1194993030 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | 415 Ernest Biles Dr |
|---|---|
| City | Jackson |
| State | Georgia (GA) |
| Post Code | 302332282 |
| Phone Number | 7707755129 |
| Fax Number |
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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Post Comment/ Review Below
What is the unique identification code assigned to Mcintosh Trail Csb by the Centers for Medicare & Medicaid Services?
The Mcintosh Trail Csb has been issued the NPI (National Provider Identifier) 1194993030. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mcintosh Trail Csb?
The Mcintosh Trail Csb is physically situated at 415 Ernest Biles Dr, in the city of Jackson, state of GA, with the postal code 302332282.
What is the Mcintosh Trail Csb's area of specialization and corresponding taxonomy classification?
The Mcintosh Trail Csb's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mcintosh Trail Csb receive the assignment of its 1194993030 from the Centers for Medicare & Medicaid Services?
The Mcintosh Trail Csb was issued its 1194993030 by the Centers for Medicare & Medicaid Services on 2008-02-13.
As of what date was the information pertaining to Mcintosh Trail Csb, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mcintosh Trail Csb, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-13.