| Mcintosh Trail Csb | |
|
101 Owens Ln Po Box E Barnesville GA 30204-1438 | |
| (770) 358-5252 | |
| Not Available |
| Full Name | Mcintosh Trail Csb |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Owens Ln, Barnesville, Georgia |
| Authorized Official Name and Position | Pamela Mccollum (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7703588251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcintosh Trail Csb 1501a Kalamazoo Dr Po Box 1320 Griffin GA 30224-3919 Ph: (770) 358-8250 | Mcintosh Trail Csb 101 Owens Ln Po Box E Barnesville GA 30204-1438 Ph: (770) 358-5252 |
| NPI Number | 1841478013 |
|---|---|
| Provider Enumeration Date | 02/09/2008 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841478013 | NPI | - | NPPES |
| 000851826C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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