| Mcintosh Trail Community Service Board | |
|
463 Ernest Biles Dr Suite B Jackson GA 30233-2229 | |
| (770) 775-2676 | |
| Not Available |
| Full Name | Mcintosh Trail Community Service Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 463 Ernest Biles Dr, Jackson, Georgia |
| Authorized Official Name and Position | Shari Thomas (CFO) |
| Authorized Official Contact | 7703588254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcintosh Trail Community Service Board 1435 N Expressway Suite 301 Griffin GA 30223-9016 Ph: (770) 358-8250 | Mcintosh Trail Community Service Board 463 Ernest Biles Dr Suite B Jackson GA 30233-2229 Ph: (770) 775-2676 |
| NPI Number | 1265610406 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265610406 | NPI | - | NPPES |
| 000601609A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Bhg Lxvi, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 794 Mcdonough Road, Suite #104, Obot Room #100, Jackson, GA 30233 Phone: 770-775-9044 Fax: 770-775-9075 | |
Bhg Lii, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 794 Mcdonough Rd Ste 104, Jackson, GA 30233 Phone: 214-365-6100 | |
Neurobloom Autism And Pediatrics Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Douglas Fir Dr, Jackson, GA 30233 Phone: 470-473-8257 | |
Mcintosh Trail Csb Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Ernest Biles Dr, Jackson, GA 30233 Phone: 770-775-5129 | |
Mcintosh Trail Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Watson Street, Jackson, GA 30233 Phone: 770-229-3125 | |
Crosspointe Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Indian Springs St, Jackson, GA 30233 Phone: 678-447-5063 |