Organization
MARY HALL FREEDOM HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY G HALL CACII (CHIEF EXECUTIVE OFFICER)
(404) 915-9258
Entity
Organization
Contact information
Practice address
8995 ROSWELL RD, SANDY SPRINGS, GA 30350-1849
(770) 642-5500
(770) 729-4481
Mailing address
PO BOX 501205, ATLANTA, GA 31150-1205
(770) 642-5500
(770) 729-4481
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
003139070A
GA
324500000X
Substance Abuse Rehabilitation Facility
Primary
060-499-D
GA
Other
Enumeration date
10/21/2016
Last updated
04/20/2021
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