Organization
BRIGHT STAR HEALTHCARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLON LLOYD (CHIEF FINANCIAL OFFICER)
(470) 781-1630
Entity
Organization
Contact information
Practice address
1545 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9114
(470) 781-1630
Mailing address
1545 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9114
(470) 781-1630
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/26/2019
Last updated
05/13/2021
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