| Mcintosh Trail Csb | |
|
139 Henry Pkwy Mcdonough GA 30253-6636 | |
| (770) 389-7816 | |
| Not Available |
| Full Name | Mcintosh Trail Csb |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 139 Henry Pkwy, Mcdonough, Georgia |
| Authorized Official Name and Position | Mike Hub (CEO) |
| Authorized Official Contact | 7703588251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcintosh Trail Csb 1435 N Expressway Suite 301 Griffin GA 30223-9016 Ph: (770) 358-8250 | Mcintosh Trail Csb 139 Henry Pkwy Mcdonough GA 30253-6636 Ph: (770) 389-7816 |
| NPI Number | 1225216484 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225216484 | NPI | - | NPPES |
| 000601609G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Assets Of A King, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Maple Leaf Dr, Mcdonough, GA 30253 Phone: 678-814-3358 Fax: 678-272-2417 | |
Illum Residential Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Moorings Ave, Mcdonough, GA 30253 Phone: 470-476-9527 | |
Piyush C. Patel, M.d. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 Patrick Henry Pkwy, Ste 225, Mcdonough, GA 30253 Phone: 770-389-8100 Fax: 770-389-3030 | |
Mcintosh Trail Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Saddlecreek Drive, Mcdonough, GA 30253 Phone: 770-229-3125 |