Organization
SOUTHERN SKY OUTPATIENT DETOX, LLC
Active
Other names
Georgia Sky Outpatient Detox, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DENKER III (MANAGING MEMBER)
(770) 659-5944
Entity
Organization
Contact information
Practice address
1156 MCKENDREE CHURCH RD, LAWRENCEVILLE, GA 30043-5272
(770) 659-5944
Mailing address
227 SANDY SPRINGS PL # D-298, SANDY SPRINGS, GA 30328-5918
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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