Organization
OUTPATIENT DETOX CENTER OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZANDRIA HAMILTON (PRESIDENT)
(470) 642-6210
Entity
Organization
Contact information
Practice address
2340 WOOD CREEK CT, DACULA, GA 30019-3170
(470) 642-6210
Mailing address
2340 WOOD CREEK CT, DACULA, GA 30019-3170
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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