Organization
LOOKOUT MOUNTAIN COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MICHELLE HOWARD (CREDENTIALING)
(706) 670-1080
Entity
Organization
Contact information
Practice address
2296 BACK VALLEY RD, LYERLY, GA 30730-5030
(706) 895-2414
Mailing address
PO BOX 1027, LA FAYETTE, GA 30728-1027
(706) 638-5580
(706) 638-5445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
02/10/2023
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