MCINTOSH TRAIL MH MR SA CSB - NPI 1477721041 - Community/Behavioral Health in Griffin, GA

Q: What is Mcintosh Trail Csb's NPI number?

The NPI number for Mcintosh Trail Csb is 1477721041. It was assigned to this organization in the NPPES registry on February 15, 2008. The provider is also known as Mcintosh Trail Mh Mr Sa Csb.

Q: What is Mcintosh Trail Csb's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Mcintosh Trail Mh Mr Sa Csb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCINTOSH TRAIL MH MR SA CSB (NPI 1477721041) is a healthcare organization registered as a community/behavioral health in Griffin, Georgia and active in the NPI registry since February 2008. The organization lists Pamela Mccollum, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477721041

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMCINTOSH TRAIL CSB

Location Address136 N HILL STGriffin, GA 30223-3335

Mailing Address1501a Kalamazoo Dr, Po Box 1320Griffin, GA 30224-3919 · (770) 358-8250

Phone(770) 229-3072

Organization SubpartNo

Authorized OfficialPamela MccollumExecutive Director · (770) 358-8251

Enumeration DateFebruary 15, 2008

Last NPPES UpdateMarch 28, 2008

✔ NPI 1477721041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

136 N HILL ST, Griffin, GA 30223

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Other Names 1

Other NameMcintosh Trail Mh Mr Sa Csb

Other Identifiers 1

Medicare PINGRP2055GA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY LYNN MCDANIEL L.C.S.W

Social Worker (Clinical)