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MCINTOSH TRAIL CSB NPI 1205004140


NPI Information

NPI: 1205004140
Provider Name: MCINTOSH TRAIL CSB
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1343 W POPLAR ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 229-3124
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MCINTOSH TRAIL CSB is a community behavioral health in Griffin, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MCINTOSH TRAIL CSB NPI is 1205004140. The provider is registered as an organization entity type.

The provider's business location address is:

1343 W POPLAR ST
GRIFFIN, GA
ZIP 30224-130
Phone: (770) 229-3124

The provider's authorized official is Pamela Mccollum .
The authorized official title is Executive Director and has the following contact phone number (770) 358-8251.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 2/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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