BLACK SWAN LLC is an adult mental health clinic center in Alpharetta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BLACK SWAN LLC NPI is 1679275846. The provider is registered as an organization entity type.
The provider Is Doing Business As Liv Recovery Center.
The provider's business location address is:
11030 JONES BRIDGE RD STE 300
ALPHARETTA, GA
ZIP 30022-560
Phone: (470) 664-4357
The provider's authorized official is Todd Wilson .
The authorized official title is Ceo and has the following contact phone number (404) 513-5640.
The CLIA number assigned to this NPI record is 11D2273257 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/20/2023 and was last updated on 11/6/2023.