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Organization
RISING SUN RECOVERY, INC.
Active
Organization
RISING SUN RECOVERY, INC.
Active
Other names
Rising Sun Recovery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RAY MOON CPS-AD (EXECUTIVE DIRECTOR)
(404) 200-8907
Entity
Organization
Contact information
Practice address
3446 PARSONS GREENE CT, POWDER SPRINGS, GA 30127-4428
(404) 200-8907
Mailing address
3446 PARSONS GREENE CT, POWDER SPRINGS, GA 30127-4428
(404) 200-8907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003319738A
—
GA
Enumeration date
01/29/2024
Last updated
05/10/2025
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