Organization
LOOKOUT MOUNTAIN COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH FARRIS (BILLING/ACCOUNT MANAGER)
(706) 638-5580
Entity
Organization
Contact information
Practice address
2798 LAKE HOWARD RD, LA FAYETTE, GA 30728-6246
(423) 619-5729
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
04/24/2008
Last updated
04/24/2008
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