Mcintosh Trail Csb in Fayetteville - Community/behavioral Health
Mcintosh Trail Csb - NPI 1750569919
Mcintosh Trail Csb is a Community/behavioral Health in Fayetteville, Georgia. Mcintosh Trail Csb practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Mcintosh Trail Csb is 1750569919. The last update date is 2015-12-17.
Mcintosh Trail Csb's current location address is 160 Carnegie Pl, Fayetteville, Georgia. You can contact this provider via phone number 7704611351. The mailing address for Mcintosh Trail Csb is 160 Carnegie Pl, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mcintosh Trail Csb |
|---|---|
| Address | 160 Carnegie Pl, Fayetteville, Georgia |
| Phone Number | 7704611351 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hubbard Mike |
| Credentials | LCSW |
| Telephone Number | 7703588251 |
NPI Number Detail
| NPI Number | 1750569919 |
|---|---|
| Provider Enumeration Date | 2008-02-08 |
| Last Updated Date | 2015-12-17 |
Provider Mailing Address Detail
| Address | 160 Carnegie Pl |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302143905 |
| Phone Number | 7704611351 |
| 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000603435J | GA | -- | |
| 000603435K | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1750569919 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mcintosh Trail Csb?
The Mcintosh Trail Csb is situated at 160 Carnegie Pl, in the city of Fayetteville, state of GA, with the zip code 302143905.
What is Mcintosh Trail Csb's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mcintosh Trail Csb'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 1750569919 to Mcintosh Trail Csb?
The Centers for Medicare & Medicaid Services assigned the 1750569919 to Mcintosh Trail Csb on 2008-02-08.
As of what date were the details pertaining to Mcintosh Trail Csb last refreshed?
The information related to the Mcintosh Trail Csb, including its address, specialty, and other relevant details, was last updated on 2015-12-17.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY