Mcintosh Trail Csb
NPI #1295903136 in Barnesville, Georgia
Provider Information
- NPI Number
- 1295903136
- Entity Type
- Organization
- Organization Name
- Mcintosh Trail Csb
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 13, 2008
- Last Updated
- Dec 8, 2009
Practice Location
- Address
- 101 OWENS LN
- Address 2
- PO BOX E
- City
- Barnesville
- State
- Georgia
- ZIP Code
- 30204-1438
- Phone
- (770) 358-5252
Authorized Official
- Name
- PAMELA MCCOLLUM
- Title
- EXECUTIVE DIRECTOR
- Phone
- (770) 358-8251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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