Lookout Mountain Community Services

NPI #1245404839 in Canton, Georgia

Provider Information

NPI Number
1245404839
Entity Type
Organization
Organization Name
Lookout Mountain Community Services
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 15, 2008
Last Updated
Feb 10, 2023

Practice Location

Address
200 N ETOWAH LN
City
Canton
State
Georgia
ZIP Code
30114-2378
Phone
(770) 479-1524

Authorized Official

Name
ALICIA MICHELLE HOWARD
Title
CREDENTIALING
Phone
(706) 670-1080

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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