| Organization Name: | TRILOGY INTEGRATED HEALTH CARE |
| NPI Number: | 1013961424 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND TIDMAN (DIRECTOR) |
| Mailing Address: | 101 Riverstone Vis Suite 101 Blue Ridge |
| State: | GA US |
| Postal Code: | 305136648 |
| Phone Number: | 7066324400 |
| Fax Number: | 7066324404 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW002589 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |