NPI age
19 years
Enumerated 2007-04-17
● Active Type 2 · Organization
McIntosh Trail Csb
McIntosh Trail Csb is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Robinson
Addictive Disease Coordinator
Last NPPES update
2008-07-07
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
136 N Hill St
Griffin, GA 302233335
Mailing address
1436 Catherine St
Decatur, GA 300304505
Authorized official
Linda P. Robinson, LCSW, MAC, CCS
Addictive Disease Coordinator
📞 7703588470
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Martha Dennis, RNBSN Registered Nurse NPI 1831318484
- Roya Fadina, RN Registered Nurse NPI 1639329659
- Christie Horne, L.P.N Licensed Practical Nurse NPI 1396986592
- Mary McDaniel, L.C.S.W Social Worker NPI 1457477366
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1000 | CERTIFIEDADDICTIONCOUN II |
| 01 (GA) | 000427 | LIC.CLINICALSOCIALWORKER |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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