Lookout Mountain Community Service
Community/Behavioral Health in Chickamauga, GA. Organization (NPI-2).
NPI number1629316864
StatusActive
Last updated in NPPESJan 23, 2013
Details
- NPI
- 1629316864
- Entity type
- Organization (NPI-2)
- Legal business name
- Lookout Mountain Community Service
- Organization subpart
- No
- Enumeration date
- Jan 23, 2013
- Last updated
- Jan 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Rhonda Whitaker (Doing Business As)
Practice location
73 Sherry CtChickamauga, GA 30707-1887
Phone 706-638-5580 · Fax 706-638-5445
Mailing address
Po Box 1027La Fayette, GA 30728-1027
Phone 706-638-5580 · Fax 706-638-5445
Authorized official
Tom Ford
Ceo
7066385580
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All 21 Community/Behavioral Health Agency providers in Chickamauga · All 62 providers in Chickamauga
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