Lookout Mountain Community Servcie
NPI #1881940484 in La Fayette, Georgia
Provider Information
- NPI Number
- 1881940484
- Entity Type
- Organization
- Organization Name
- Lookout Mountain Community Servcie
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 1, 2012
- Last Updated
- Aug 1, 2012
Practice Location
- Address
- 3341 LAKE HOWARD RD
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728-6251
- 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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