Organization
BX ATLANTA RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SMITH (BILLING MANAGER)
(954) 800-8387
Entity
Organization
Contact information
Practice address
3975 ROSWELL ROAD SUITE 102, ATLANTA, GA 30342
(954) 800-8387
Mailing address
70 GRUBER LANE SUITE 107, ST. SIMONS ISLAND, GA 31522
(954) 800-8387
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/29/2016
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