Lookout Mountain Community Service

NPI #1992054423 in La Fayette, Georgia

Provider Information

NPI Number
1992054423
Entity Type
Organization
Organization Name
Lookout Mountain Community Service
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 30, 2012
Last Updated
Aug 30, 2012

Practice Location

Address
9234 HIGHWAY 151
State
Georgia
ZIP Code
30728-5124
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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