Lookout Mountain Community Services
NPI #1518039346 in La Fayette, Georgia
Provider Information
- NPI Number
- 1518039346
- Entity Type
- Organization
- Organization Name
- Lookout Mountain Community Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Aug 15, 2007
Practice Location
- Address
- 501 MIZE STREET
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728
- Phone
- (706) 638-5584
Authorized Official
- Name
- THOMAS W. FORD, PH.D.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (706) 638-5584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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