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Highland Rivers Community Service Board

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

NPI 1811240880 · NPPES record last updated Oct 16, 2012

Key facts

NPI
1811240880
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
HIGHLAND RIVERS COMMUNITY SERVICE BOARD
Practice address
236 Cohutta Beaverdale Rd
Cohutta, GA 30710-9720
Phone
(706) 270-5033
Fax
(706) 370-7749
NPI assigned
Oct 16, 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

236 Cohutta Beaverdale Rd
Cohutta, GA 30710-9720

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
000936559EYMedicaidGA

Other providers in Cohutta, GA

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

Sources for this page

Verify at the official NPI Registry.