Organization
RECOVERY DBT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN GUZMAN LPC (PROGRAM DIRECTOR)
(678) 336-6875
Entity
Organization
Contact information
Practice address
1640 POWERS FERRY ROAD, BUILDING 4 SUITE 300, MARIETTA, GA 30067-6404
(678) 336-6875
(470) 275-0630
Mailing address
1640 POWERS FERRY RD SE BLDG 4-300, MARIETTA, GA 30067-9409
(678) 336-6875
(470) 275-0630
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/31/2022
Last updated
01/18/2025
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