Organization
HIDDEN CREEK RECOVERY AND RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEVANA BRADSHAW (ACCOUNTS REP)
(470) 721-3241
Entity
Organization
Contact information
Practice address
110 PLEASANT HILL CHURCH RD, TALLAPOOSA, GA 30176-4333
(470) 721-3241
Mailing address
110 PLEASANT HILL CHURCH RD, TALLAPOOSA, GA 30176-4333
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
11/15/2024
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