Organization
ATLANTA DETOX CENTER, LLC
Active
Parent organization
ATLANTA DETOX CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTA DETOX CENTER, LLC
Authorized official
JESSIE COSTLEY (LICENSING AND CREDENTIALING SPECIAL)
(410) 807-8471
Entity
Organization
Contact information
Practice address
277 MEDICAL WAY, RIVERDALE, GA 30274-2522
(470) 298-7236
(470) 300-8480
Mailing address
277 MEDICAL WAY, RIVERDALE, GA 30274-2522
(470) 298-7236
(470) 300-8480
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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