| NPI | 1316115256 |
|---|---|
| Other Name | MCINTOSH TRAIL SA CSB |
| Entity Type | Organization |
| Authorized Contact | PAMELA MCCOLLUM Executive Director 770-358-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |