Organization
MCINTOSH TRAIL COMMUNITY SERVICE BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYATTA DENISE WALKER LCSW (CEO)
(770) 358-5252
Entity
Organization
Contact information
Practice address
122 S 13TH ST, GRIFFIN, GA 30223
(770) 358-5252
(770) 229-3223
Mailing address
1435 NORTH EXPRESSWAY, SUITE 301, GRIFFIN, GA 30223-9014
(770) 358-8250
(770) 229-3223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
12/22/2006
Last updated
06/19/2025
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