Organization
STONEBRAKER'S, INC
Active
Organization
STONEBRAKER'S, INC
Active
Other names
The Insight Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C. STONEBRAKER ICCS, ICADC, CAC II, (EXECUTIVE DIRECTOR)
(770) 751-8383
Entity
Organization
Contact information
Practice address
5110 OLD ELLIS PT, ROSWELL, GA 30076-3863
(770) 751-8383
(770) 751-7282
Mailing address
5110 OLD ELLIS PT, ROSWELL, GA 30076-3863
(770) 751-8383
(770) 751-7282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
028-556-D
GA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
028-556-D
GA
Other
Enumeration date
05/14/2008
Last updated
01/20/2026
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