Organization
PENFIELD ADDICTION MINISTRIES, INC.
Active
Other names
Penfield Christian Homes, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MICHAEL METZGER CADCI (CQI-RM SUPERVISOR)
(706) 817-4589
Entity
Organization
Contact information
Practice address
1061 MERCER CIR, UNION POINT, GA 30669-2205
(706) 453-7929
Mailing address
1061 MERCER CIR, UNION POINT, GA 30669-2205
(706) 453-7929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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