Organization
REVELARE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN EVANS (OFFICE MANAGER)
(678) 920-9431
Entity
Organization
Contact information
Practice address
750 GLENWOOD AVE SE BLDG 200, STE 210, ATLANTA, GA 30316-2195
(888) 341-0244
Mailing address
750 GLENWOOD AVE SE BLDG 200, STE 210, ATLANTA, GA 30316-2195
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
09/12/2023
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