Organization
HIGHLAND RIVERS COMMUNITY SERVICE BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN WHITLOW (BILLING MANAGER)
(706) 270-5033
Entity
Organization
Contact information
Practice address
1149 MOUNT VERNON RD, TUNNEL HILL, GA 30755-6346
(706) 270-5033
(706) 370-7749
Mailing address
1401 APPLEWOOD DR STE 1, DALTON, GA 30720-2699
(706) 270-5033
(706) 370-7749
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000936559GD
—
GA
Enumeration date
10/12/2012
Last updated
10/12/2012
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