Lookout Mountain Community Service
NPI #1750648622 in Chickamauga, Georgia
Provider Information
- NPI Number
- 1750648622
- Entity Type
- Organization
- Organization Name
- Lookout Mountain Community Service
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 17, 2012
- Last Updated
- Apr 17, 2012
Practice Location
- Address
- 1427 LEE CLARKSON RD
- City
- Chickamauga
- State
- Georgia
- ZIP Code
- 30707-3344
- Phone
- (706) 638-5580
Authorized Official
- Name
- DR. TOM FORD, PHD
- Title
- CEO
- Phone
- (706) 638-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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