Organization
MEADOWS OUTPATIENT CENTER GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY ELIZABETH LIVINGSTON (VICE PRESIDENT REVENUE CYCLE MGMT)
(602) 256-3020
Entity
Organization
Contact information
Practice address
5607 GLENRIDGE DR, ATLANTA, GA 30342-7200
(602) 256-3020
Mailing address
19820 N 7TH ST STE 205, PHOENIX, AZ 85024-1694
(602) 256-3020
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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