GEORGIA CTC, LLC is a methadone clinic center in Dallas, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. GEORGIA CTC, LLC NPI is 1407582042. The provider is registered as an organization entity type.
The provider's business location address is:
311 WHITE INGRAM PKWY
DALLAS, GA
ZIP 30132-969
Phone: (678) 363-7447
The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (156) 716-9335.
The CLIA number assigned to this NPI record is 11D2268357 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/26/2022 and was last updated on 12/11/2023.