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BLUE RIDGE MOUNTAIN RECOVERY CENTER LLC NPI 1700352739


NPI Information

NPI: 1700352739
Provider Name: BLUE RIDGE MOUNTAIN RECOVERY CENTER, LLC

Doing Business As: BLUE RIDGE MOUNTAIN RECOVERY CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
255 DEPOT ST STE 200
BALL GROUND, GA
ZIP 30107
Phone: (678) 454-6440
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BLUE RIDGE MOUNTAIN RECOVERY CENTER, LLC is a substance abuse rehabilitation facility in Ball Ground, 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. BLUE RIDGE MOUNTAIN RECOVERY CENTER, LLC NPI is 1700352739. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Ridge Mountain Recovery Center.

The provider's business location address is:

255 DEPOT ST STE 200
BALL GROUND, GA
ZIP 30107-065
Phone: (678) 454-6440
Fax: (770) 692-3567

The provider's authorized official is Christopher Howard .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 10/17/2018 and was last updated on 6/19/2020.


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 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

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