Organization
ADDICTION HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN KAYE BLANK MD (CMO)
(770) 696-9862
Entity
Organization
Contact information
Practice address
1846 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30044-8801
(770) 696-9862
(770) 710-0243
Mailing address
1846 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30044-8801
(770) 696-9862
(770) 710-0243
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
GA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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