Mcintosh Trail Community Service Board | |
130 Library Street Barnesville GA 30204 | |
(770) 358-5252 | |
(770) 229-3223 |
Full Name | Mcintosh Trail Community Service Board |
---|---|
Speciality | Community/behavioral Health |
Location | 130 Library Street, Barnesville, Georgia |
Authorized Official Name and Position | Kenyatta Denise Walker (CEO) |
Authorized Official Contact | 7703585252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mcintosh Trail Community Service Board 1435 North Expressway Suite 301 Griffin GA 30223 Ph: (770) 358-5252 | Mcintosh Trail Community Service Board 130 Library Street Barnesville GA 30204 Ph: (770) 358-5252 |
NPI Number | 1124295571 |
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Provider Enumeration Date | 05/14/2008 |
Last Update Date | 06/19/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124295571 | NPI | - | NPPES |
000601609AH | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Mcintosh Trail Csb Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Owens Ln, Po Box E, Barnesville, GA 30204 Phone: 770-358-5252 | |
Mcintosh Trail Csb Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Owens Ln, Po Box E, Barnesville, GA 30204 Phone: 770-358-5252 |