Lookout Mountain Community Service
NPI #1518297274 in La Fayette, Georgia
Provider Information
- NPI Number
- 1518297274
- Entity Type
- Organization
- Organization Name
- Lookout Mountain Community Service
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 31, 2009
- Last Updated
- Dec 31, 2009
Practice Location
- Address
- 1760 SHINBONE RIDGE RD
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728-4207
- Phone
- (706) 638-5580
Authorized Official
- Name
- DR. TOM FORD
- Title
- CEO
- Phone
- (706) 638-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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