Organization
ATHENS AREA COMMENCEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HINZMAN (DIRECTOR)
(706) 475-5797
Entity
Organization
Contact information
Practice address
1175 MITCHELL BRIDGE RD, ATHENS, GA 30606-6411
(706) 475-5797
(706) 546-8439
Mailing address
1175 MITCHELL BRIDGE RD, ATHENS, GA 30606-6411
(706) 475-5797
(706) 546-8439
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
029554D
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029554D
STATE LICENSE NUMBER
GA
Enumeration date
12/01/2006
Last updated
08/22/2020
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