Organization
PEACHTREE TOTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI EDWARDS (VP OF REVENUE STRATEGY)
(817) 966-2764
Entity
Organization
Contact information
Practice address
100 GOVERNORS TRCE STE 108, PEACHTREE CITY, GA 30269-4853
(817) 966-2764
Mailing address
10019 REISTERSTOWN RD FL 3, OWINGS MILLS, MD 21117-3902
(817) 966-2764
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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