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Organization

HIGHLAND RIVERS CSB

Active
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Organization

HIGHLAND RIVERS CSB

Active
Parent organization
HIGHLAND RIVERS CENTER, CSB
Other names
Highland Rivers Whitfield Day & CSI Serivces
Organization subpart
Yes

Provider details

NPI number
Legal business name
HIGHLAND RIVERS CENTER, CSB
Authorized official
MR. JASON BEARDEN (CEO)
(706) 270-5000
Entity
Organization

Contact information

Practice address
900 SHUGART RD, SUITE B, DALTON, GA 30720-2467
(706) 270-5027
(706) 270-5022
Mailing address
1401 APPLEWOOD DRIVE, SUITE 1, DALTON, GA 30720-2699
(706) 270-5002
(706) 370-7749

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
GA
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000601807F
GA
01
1447256243
ORGANIZATION MASTER UPIN
GA
Enumeration date
12/21/2006
Last updated
09/20/2011
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