Organization
HIGHLAND RIVERS CENTER, CSB
Active
Other names
HIGHLAND RIVERS LIGHTHOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
KLAY WEAVER (CEO)
(706) 270-5000
Entity
Organization
Contact information
Practice address
1705 DEAN AVE SE, ROME, GA 30161-7105
(706) 802-5870
(706) 802-0654
Mailing address
1401 BURLEYSON DR, SUITE 1, DALTON, GA 30720-2522
(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
01
—
1447256243
ORGANIZATION MASTER NPI
GA
Enumeration date
12/19/2006
Last updated
08/22/2020
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