Organization
BRAINSCIENCE RECOVERY.WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LYNN RAUSCH MD (DIRECTOR)
(706) 421-0289
Entity
Organization
Contact information
Practice address
4233 PLEASANT HILL RD STE 110, DULUTH, GA 30096-1609
(770) 559-0550
Mailing address
4233 PLEASANT HILL RD STE 110, DULUTH, GA 30096-1609
(770) 559-0550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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