Organization
THE RETREAT OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA PEANA LMHC (CLINICAL DIRECTOR)
(954) 882-1332
Entity
Organization
Contact information
Practice address
155 GREENSBORO RD, EATONTON, GA 31024-6042
(954) 789-2161
(954) 764-6558
Mailing address
100 NW 17TH AVE, POMPANO BEACH, FL 33069-2814
(954) 789-2161
(954) 764-6558
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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