Organization
CREEKSIDE RECOVERY RESIDENCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARTER POPE JR. (CEO)
(404) 333-2277
Entity
Organization
Contact information
Practice address
2940 MABRY RD NE, BROOKHAVEN, GA 30319-2605
(404) 333-2277
Mailing address
2940 MABRY RD NE, BROOKHAVEN, GA 30319-2605
(404) 333-2277
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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