NPI age
18 years
Enumerated 2008-02-13
● Active Type 2 · Organization
McIntosh Trail Csb
McIntosh Trail Csb is 1 of 2449 community/behavioral health organizations in Georgia.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCollum
Executive Director
Last NPPES update
2008-02-13
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
18 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1459 Williamson Rd
Griffin, GA 302248428
Mailing address
1501a Kalamazoo Dr
Griffin, GA 302243919
Authorized official
Pamela McCollum
Executive Director
📞 7703588251
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Monitque Miller, LPN Licensed Practical Nurse NPI 1205044732
Specialties
-
Community/Behavioral Health PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
McIntosh Trail SA CSB
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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