Organization
LORY HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI SMALL (CEO)
(412) 818-4115
Entity
Organization
Contact information
Practice address
1575 ADELIA PL NE, ATLANTA, GA 30329-3805
(412) 818-4115
Mailing address
1575 ADELIA PL NE, ATLANTA, GA 30329-3805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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