Highland Rivers Community Service Board
Organization Active NPI Community/Behavioral Health Agency · Rome, GA
NPI 1982957965 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1982957965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- HIGHLAND RIVERS COMMUNITY SERVICE BOARD
- Practice address
- 210 Coney Circle
Rome, GA 30161-0000 - Phone
- (706) 270-5033
- 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) 14
National Provider Directory
- Tax ID family
- Highland Rivers Center CSB
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
210 Coney Circle
Rome, GA 30161-0000
Mailing address
1401 Applewood Dr Ste 1
Dalton, GA 30720-2699
Phone (706) 270-5033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000936559DE | Medicaid | GA |
Other providers in Rome, GA
- Highland Rivers Community Service Board
- Highland Rivers Community Service Board
- Highland Rivers Community Service Board
- Highland Rivers Community Service Board
- Highland Rivers Community Service Board
- Highland Rivers CSB
- Highland Rivers CSB
- Highland Rivers CSB
- Highland Rivers CSB
- Highland Rivers CSB
All providers in Rome, 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 16, 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.