Mcintosh Trail Csb in Griffin - Mental Health (including Community Mental Health Center)

Mcintosh Trail Csb - NPI 1649495268

Mcintosh Trail Csb is a Mental Health (including Community Mental Health Center) in Griffin, Georgia. Mcintosh Trail Csb practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Mcintosh Trail Csb is 1649495268. The last update date is 2008-07-07.

Mcintosh Trail Csb's current location address is 136 N Hill St, Griffin, Georgia. You can contact this provider via phone number 7703588470. The mailing address for Mcintosh Trail Csb is 136 N Hill St, Griffin, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mcintosh Trail Csb
Address 136 N Hill St, Griffin, Georgia
Phone Number 7703588470
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADDICTIVE
Authorized Official Name Robinson P. Linda
Credentials LCSW, MAC,
Telephone Number 7703588470

NPI Number Detail

NPI Number 1649495268
Provider Enumeration Date 2007-04-17
Last Updated Date 2008-07-07

Provider Mailing Address Detail

Address 136 N Hill St
City Griffin
State Georgia (GA)
Post Code 302233335
Phone Number 7703588470
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Licence No 427
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000 GA CERTIFIEDADDICTIONCOUN II
427 GA LIC.CLINICALSOCIALWORKER

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FAQs about Mcintosh Trail Csb

What is the unique identifier code issued to Mcintosh Trail Csb by the Centers for Medicare & Medicaid Services?

The Mcintosh Trail Csb has been assigned the NPI (National Provider Identifier) 1649495268. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mcintosh Trail Csb's facilities are geographically located?

The facilities of Mcintosh Trail Csb are physically situated at the following location: 136 N Hill St, Griffin, GA, 302233335.

What is Mcintosh Trail Csb's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mcintosh Trail Csb is Mental Health (including Community Mental Health Center), and the taxonomy code that categorizes this field of expertise is 261Qm0801X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649495268 to Mcintosh Trail Csb?

The Centers for Medicare & Medicaid Services originally issued the 1649495268 to Mcintosh Trail Csb on 2007-04-17.

When was the Mcintosh Trail Csb's information last updated?

The Mcintosh Trail Csb's information was last updated on 2008-07-07.

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