Organization
KENNESAW TRAUMA AND ADDICTION CENTER
Active
Organization
KENNESAW TRAUMA AND ADDICTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE LYNN ARBOGAST LPC (PRESIDENT)
(828) 333-8595
Entity
Organization
Contact information
Practice address
3745 CHEROKEE ST NW STE 101, KENNESAW, GA 30144-6790
(828) 333-8595
Mailing address
3745 CHEROKEE ST NW STE 101, KENNESAW, GA 30144-6790
(828) 333-8595
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/15/2021
Last updated
02/06/2025
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