Organization
GPA TREATMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONUZULIKE NAT NWIZU M.A., C.A.S (PROGRAM ADMINISTRATOR)
(770) 493-1922
Entity
Organization
Contact information
Practice address
4255 CHAMBLEE TUCKER RD, DORAVILLE, GA 30340-4501
(770) 493-1922
(770) 493-8000
Mailing address
4255 CHAMBLEE TUCKER RD, DORAVILLE, GA 30340-4501
(770) 493-1922
(770) 493-8000
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
GA-100059-M
GA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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