ADDICTION HEALING CENTER LLC NPI 1164772984

NPI Information

NPI: 1164772984
Provider Name: ADDICTION HEALING CENTER, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1846 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30044
Phone: (770) 696-9862
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ADDICTION HEALING CENTER, LLC is a rehabilitation and substance use disorder clinic center in Lawrenceville, GA. ADDICTION HEALING CENTER, LLC NPI is 1164772984. The provider is registered as an organization entity type.

The provider's business location address is:

1846 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30044-801
Phone: (770) 696-9862
Fax: (770) 710-0243

The provider's authorized official is Susan Kaye Blank .
The authorized official title is Cmo and has the following contact phone number (770) 696-9862.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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