| Highland Rivers Community Service Board | |
|
3146 Maple Grove Church Rd Resaca GA 30735-5036 | |
| (706) 270-5033 | |
| (706) 370-7749 |
| Full Name | Highland Rivers Community Service Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3146 Maple Grove Church Rd, Resaca, Georgia |
| Authorized Official Name and Position | Robin Whitlow (BILLING MANAGER) |
| Authorized Official Contact | 7062705033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Rivers Community Service Board 1401 Applewood Dr Ste 1 Dalton GA 30720-2699 Ph: (706) 270-5033 | Highland Rivers Community Service Board 3146 Maple Grove Church Rd Resaca GA 30735-5036 Ph: (706) 270-5033 |
| NPI Number | 1194077115 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194077115 | NPI | - | NPPES |
| 000936559DR | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Highland Rivers Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2799 Maple Grove Church Rd, Resaca, GA 30735 Phone: 706-270-5033 Fax: 706-370-7749 |