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Highland Rivers Community Service Board

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

NPI 1134472020 · NPPES record last updated Oct 17, 2012

Key facts

NPI
1134472020
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
HIGHLAND RIVERS COMMUNITY SERVICE BOARD
Practice address
701 Lickskillet Rd
Epworth, GA 30541-2316
Phone
(706) 270-5033
Fax
(706) 370-7749
NPI assigned
Oct 17, 2012
Organization subpart
No

Authorized official

Name
Robin Whitlow
Title
Billing Manager
Phone
(706) 270-5033

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Highland Rivers Center CSB (123 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

701 Lickskillet Rd
Epworth, GA 30541-2316

Mailing address

1401 Applewood Dr Ste 1
Dalton, GA 30720-2699
Phone (706) 270-5033

Other identifiers

IdentifierTypeStateIssuer
000936559CFMedicaidGA

Other providers in Epworth, GA

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

Sources for this page

Verify at the official NPI Registry.