Highland Rivers Community Service Board
Organization Active NPI Community/Behavioral Health Agency · Cedartown, GA
NPI 1114279262 · NPPES record last updated Oct 12, 2012
Key facts
- NPI
- 1114279262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- HIGHLAND RIVERS COMMUNITY SERVICE BOARD
- Practice address
- 321 West Avenue
Cedartown, GA 30125-3458 - Phone
- (706) 270-5033
- Fax
- (706) 370-7749
- NPI assigned
- Oct 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Robin Whitlow
- Title
- Billing Manager
- Phone
- (706) 270-5033
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Highland Rivers Center CSB
Locations
321 West Ave
Cedartown, GA 30125
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
321 West Avenue
Cedartown, GA 30125-3458
Mailing address
1401 Applewood Dr Ste 1
Dalton, GA 30720-2699
Phone (706) 270-5033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000936559FZ | Medicaid | GA |
Other providers in Cedartown, GA
- Ronni Michelle Heard
- Pamela Diane Hearn
- Karen M Hellriegel
- Hannah Bell Helton
- Stacy M Hendrix
- Highland Rivers Community Service Board
- Highland Rivers CSB
- Angel'O Deshane Hill
- Nhi Joy Ho
- Horizons Therapy Group, Inc.
All providers in Cedartown, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.