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McIntosh Trail CSB

Organization Active NPI Community/Behavioral Health Agency · Jenkinsburg, GA

NPI 1023296282 · NPPES record last updated Feb 8, 2008

Key facts

NPI
1023296282
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
MCINTOSH TRAIL CSB
Practice address
318 Burg Rd
Jenkinsburg, GA 30234-2001
Phone
(770) 358-8258
Fax
(770) 229-3223
NPI assigned
Feb 8, 2008
Organization subpart
No

Authorized official

Name
Pamela McCollum
Title
Executive Director
Phone
(770) 358-8251

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

National Provider Directory

Tax ID family
McIntosh Trail CSB (29 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

318 Burg Rd
Jenkinsburg, GA 30234-2001

Mailing address

1501A Kalamazoo Dr
Griffin, GA 30224-3919
Phone (770) 358-8250

Other providers in Jenkinsburg, GA

All providers in Jenkinsburg, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.