Organization
EDGE TREATMENT LLC
Active
Organization
EDGE TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA JARVIS (CEO)
(706) 342-6024
Entity
Organization
Contact information
Practice address
11205 ALPHARETTA HWY STE H4, ROSWELL, GA 30076-5649
(706) 342-6024
Mailing address
11205 ALPHARETTA HWY STE H4, ROSWELL, GA 30076-5649
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
10/21/2024
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