Organization
WEST GEORGIA WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WIDOTA (COO)
(609) 480-9853
Entity
Organization
Contact information
Practice address
126 ENTERPRISE PATH STE 104B, HIRAM, GA 30141-2655
(609) 480-9853
Mailing address
51 SAGEMONT CT, ACWORTH, GA 30101-2620
(770) 309-9417
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/14/2023
Last updated
01/08/2026
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