Organization
LOOKOUT MOUNTAIN COMMUNITY SERVICES
Active
Organization
LOOKOUT MOUNTAIN COMMUNITY SERVICES
Active
Other names
Behavioral Support Comp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM FORD PHD (CEO)
(706) 638-5580
Entity
Organization
Contact information
Practice address
1427 LEE CLARKSON RD, CHICKAMAUGA, GA 30707-3344
(706) 638-5580
(706) 638-5445
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
04/18/2012
Last updated
04/18/2012
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