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MARY HALL FREEDOM HOUSE INC. NPI 1609086008


NPI Information

NPI: 1609086008
Provider Name: MARY HALL FREEDOM HOUSE, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 11D2031483

Address:
200 HANNOVER PARK ROAD
SUITE 100
SANDY SPRINGS, GA
ZIP 30350
Phone: (770) 642-5500
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MARY HALL FREEDOM HOUSE, INC. is a substance abuse rehabilitation facility in Sandy Springs, 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. MARY HALL FREEDOM HOUSE, INC. NPI is 1609086008. The provider is registered as an organization entity type.

The provider's business location address is:

200 HANNOVER PARK ROAD
SUITE 100
SANDY SPRINGS, GA
ZIP 30350-803
Phone: (770) 642-5500
Fax: (770) 642-5406

The provider's authorized official is Lucy Hall-gainer .
The authorized official title is President & Ceo and has the following contact phone number (770) 642-5500.

The CLIA number assigned to this NPI record is 11D2031483 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.


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 Facility060-499-DGEORGIAYes

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

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