Organization
LOOKOUT MOUNTAIN COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH FARRIS (BILLING AND AR MANAGER)
(706) 638-5580
Entity
Organization
Contact information
Practice address
700 CITY HALL DR, FT OGLETHORPE, GA 30742-7802
(706) 638-5580
Mailing address
PO BOX 1027, LAFAYETTE, GA 30728
(706) 638-5580
(706) 638-6855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604513C-23
—
GA
Enumeration date
02/28/2007
Last updated
07/21/2022
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