Organization
HIGHLAND RIVERS CSB
Active
Parent organization
HIGHLAND RIVERS CENTER
Other names
HIGHLAND RIVERS POLK OP OFFICE AND CRISIS STABILIZATION PROGRAM
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGHLAND RIVERS CENTER
Authorized official
MR. JASON BEARDEN (CEO)
(706) 270-5000
Entity
Organization
Contact information
Practice address
180 WATER OAK DR, CEDARTOWN, GA 30125-2095
(770) 748-2225
(770) 749-0939
Mailing address
1401 APPLEWOOD DRIVE, SUITE 1, DALTON, GA 30720-2699
(706) 270-5002
(706) 370-7749
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000759448J
—
GA
01
—
1447256243
ORGANIZATIONAL MASTER NPI
GA
Enumeration date
12/18/2006
Last updated
09/20/2011
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