Highland Rivers Community Service Board

Organization Active NPI Community/Behavioral Health Agency · Tunnel Hill, GA

NPI 1821349804 · NPPES record last updated Oct 12, 2012

Key facts

NPI
1821349804
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
HIGHLAND RIVERS COMMUNITY SERVICE BOARD
Practice address
715 Larkwood Dr
Tunnel Hill, GA 30755-9558
Phone
(706) 270-5033
Fax
(706) 370-7749
NPI assigned
Oct 1, 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

715 Larkwood Dr
Tunnel Hill, GA 30755-9558

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
000936559DXMedicaidGA

Other providers in Tunnel Hill, GA

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

Sources for this page

Verify at the official NPI Registry.