NPIMap

McIntosh Trail CSB

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

NPI 1295903136 · NPPES record last updated Dec 8, 2009

Key facts

NPI
1295903136
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
MCINTOSH TRAIL CSB
Practice address
101 Owens LN
PO Box E
Barnesville, GA 30204-1438
Phone
(770) 358-5252
NPI assigned
Feb 13, 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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

101 Owens LN
PO Box E
Barnesville, GA 30204-1438

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
000601609VMedicaidGA

Other names

  • McIntosh Tr MH MR SA CSB ADT Other name

Other providers in Barnesville, GA

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

Sources for this page

Verify at the official NPI Registry.