Lookout Mountain Community Services
NPI #1871978965 in Fort Oglethorpe, Georgia
Provider Information
- NPI Number
- 1871978965
- Entity Type
- Organization
- Organization Name
- Lookout Mountain Community Services
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Jul 30, 2015
- Last Updated
- Jul 30, 2015
Practice Location
- Address
- 1875 FANT DR
- City
- Fort Oglethorpe
- State
- Georgia
- ZIP Code
- 30742-3307
- Phone
- (706) 861-3387
Authorized Official
- Name
- CARLA MYERS, LPC
- Title
- CLINICAN
- Phone
- (706) 861-3387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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