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Organization

SOUTHERN SKY OUTPATIENT DETOX, LLC

Active
Other names
Georgia Sky Outpatient Detox
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN DENKER (MANAGING MEMBER)
(770) 659-5944
Entity
Organization

Contact information

Practice address
11030 JONES BRIDGE RD STE 304, JOHNS CREEK, GA 30022-4560
(770) 659-5944
Mailing address
227 SANDY SPRINGS PL # D-298, SANDY SPRINGS, GA 30328-5918

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
01/03/2024
Last updated
03/28/2024
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