Highland Rivers Community Service Board
Organization Active NPI Community/Behavioral Health Agency · Marietta, GA
NPI 1992057962 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1992057962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- HIGHLAND RIVERS COMMUNITY SERVICE BOARD
- Practice address
- 3671 Shallowford Rd
Marietta, GA 30062-4185 - Phone
- (706) 270-5033
- Fax
- (706) 370-7749
- NPI assigned
- Oct 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Robin Whitlow
- Title
- Billing Manager
- Phone
- (706) 270-5033
Corporate family (same tax ID) 13
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
3671 Shallowford Rd
Marietta, GA 30062-4185
Mailing address
1401 Applewood Dr Ste 1
Dalton, GA 30720-2699
Phone (706) 270-5033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000936559CH | Medicaid | GA |
Other providers in Marietta, GA
- Chase Hicks
- Jacob Hicks
- Loretta Hicks
- Victoria Marie Hicks
- Patricia Anne Higginbotham
- Highlights Healthcare of Georgia, LLC
- William Ralph Hilbert
- Arshad Hill
- Ciji Dionne Hill
- Connie Dessonville Hill
All providers in Marietta, 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.