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Mcintosh Trail Csb
Mental Health Clinic/Center (Including Community Mental Health Center) in Griffin, Georgia
NPI 1649495268

Mcintosh Trail Csb is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Decatur, GA and is specialized in Mental Health (Including Community Mental Health Center). Mcintosh Trail Csb practices in Griffin, GA. The NPI Number for Mcintosh Trail Csb is 1649495268 and holds a License No. 000427 (Georgia).

The current practice location address for Mcintosh Trail Csb is 136 N Hill St, Griffin, GA and can be reached out via phone at 770-358-8470.

Location: 136 N Hill St, Griffin, GA, 30030-4505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649495268
Provider Name
Mcintosh Trail Csb
Credential
Provider Entity Type
Organization
Address
136 N Hill St, Griffin, GA, 30030-4505
Phone Number
770-358-8470
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000 01 GA CERTIFIEDADDICTIONCOUN II
000427 01 GA LIC.CLINICALSOCIALWORKER
institution
Provider Business Practice Location Address Details
Address
136 N Hill St
City
Griffin
State
Georgia
Zip
30223-3335
Phone Number
770-358-8470
Fax Number
person
Provider Business Mailing Address Details
Address
136 N Hill St
City
Griffin
State
Georgia
Zip
30223-3335
Phone Number
770-358-8470
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
000427 (Georgia)
Definition
Definition to come...
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