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SAMBA RECOVERY AT PEACHTREE LLC NPI 1598461550


NPI Information

NPI: 1598461550
Provider Name: SAMBA RECOVERY AT PEACHTREE LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 11D2270937

Address:
155 TECHNOLOGY PKWY
NORCROSS, GA
ZIP 30092
Phone: (470) 994-1114
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SAMBA RECOVERY AT PEACHTREE LLC is a substance abuse rehabilitation facility in Norcross, GA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SAMBA RECOVERY AT PEACHTREE LLC NPI is 1598461550. The provider is registered as an organization entity type.

The provider's business location address is:

155 TECHNOLOGY PKWY
NORCROSS, GA
ZIP 30092-002
Phone: (470) 994-1114
Fax: (470) 994-1110

The provider's authorized official is Joshua Bamberger .
The authorized official title is Ceo and has the following contact phone number (732) 642-1610.

The CLIA number assigned to this NPI record is 11D2270937 - other - outpatient d&a facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2023 and was last updated on 2/1/2023.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.