Organization
GA. MTNS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON C. RUBENOW D.O. (MEDICAL DIRECTOR)
(678) 513-5707
Entity
Organization
Contact information
Practice address
2318 BROWNS BRIDGE RD, GAINESVILLE, GA 30504-6041
(678) 207-1663
(678) 207-1620
Mailing address
2315 STEPHENS CIR, GAINESVILLE, GA 30506-1115
(770) 536-4959
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0591
GA
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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