Lookout Mountain Community Services
NPI #1619687803 in La Fayette, Georgia
Provider Information
- NPI Number
- 1619687803
- Entity Type
- Organization
- Organization Name
- Lookout Mountain Community Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 29, 2022
- Last Updated
- Nov 29, 2022
Practice Location
- Address
- 805 MOORE AVE
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728-3321
- Phone
- (706) 638-5580
Authorized Official
- Name
- ALICIA MICHELLE HOWARD
- Title
- CREDENTIALING
- Phone
- (706) 670-1080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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