NPI 1174791016

McIntosh Trail Csb

Organisation Community/Behavioral Health Agency Griffin, GA

Practice location

Address: 514 W Poplar St, Griffin, GA 30224-2816
Phone: (770) 358-8258
Fax: (770) 229-3223
Mailing address: 1501a Kalamazoo Dr, Griffin, GA 30224-3919

Authorised official

Name: Pamela McCollum
Title: Executive Director
Phone: (770) 358-8251

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Georgia →

Registry record

NPI: 1174791016
Entity type: Organization
NPI issued: 13 Feb 2008
Record last updated: 13 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.