Organization
BREAKTHRU HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENITA DANLEY JACKSON MSW (EXECUTIVE DIRECTOR)
(404) 284-4658
Entity
Organization
Contact information
Practice address
1866 EASTFIELD ST, DECATUR, GA 30032-4143
(404) 284-4658
Mailing address
1866 EASTFIELD ST, DECATUR, GA 30032-4143
(404) 284-4658
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
044519D
GA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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