Organization
PEACHTREE WELLNESS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FLAIG (CHIEF EXECUTIVE OFFICER)
(513) 497-1982
Entity
Organization
Contact information
Practice address
100 GOVERNORS TRCE STE 110, PEACHTREE CITY, GA 30269-4853
(513) 497-1982
Mailing address
116 PEACHTREE CT STE B, PEACHTREE CITY, GA 30269-4800
(513) 497-1982
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70170
DR. BRYON MCQUIRT
GA
Enumeration date
06/24/2022
Last updated
04/09/2024
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