Organization
HIGHLAND RIVERS CSB
Active
Parent organization
HIGHLAND RIVERS CENTER, CSB
Other names
HIGHLAND RIVERS BARTOW OFFICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGHLAND RIVERS CENTER, CSB
Authorized official
MRS. MELANIE DALLAS (CEO)
(706) 270-5000
Entity
Organization
Contact information
Practice address
650 JOE FRANK HARRIS PKWY S.E., CARTERSVILLE, GA 30120-3962
(770) 387-3538
(770) 607-6704
Mailing address
1503 N TIBBS RD, DALTON, GA 30720-2915
(706) 270-5033
(706) 370-7749
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
GA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000759448U
—
GA
01
—
1447256243
ORGANIZATION MASTER NPI
GA
Enumeration date
12/18/2006
Last updated
11/04/2022
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