Lookout Mountain Community Services
NPI #1912245150 in Chickamauga, Georgia
Provider Information
- NPI Number
- 1912245150
- Entity Type
- Organization
- Organization Name
- Lookout Mountain Community Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 23, 2013
- Last Updated
- Jan 23, 2013
Practice Location
- Address
- 377 WILDEWOOD TRL
- City
- Chickamauga
- State
- Georgia
- ZIP Code
- 30707-3490
- Phone
- (423) 304-2847
Authorized Official
- Name
- TOM FORD, PHD
- Title
- CEO
- Phone
- (706) 638-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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