Organization
TRI-STATE TREATMENT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA M HANCOCK (ADMINISTRATOR)
(423) 428-0045
Entity
Organization
Contact information
Practice address
1236 HIGHWAY 299, WILDWOOD, GA 30757-4003
(423) 428-0045
(423) 428-0046
Mailing address
1236 HIGHWAY 299, WILDWOOD, GA 30757-4003
(423) 428-0045
(423) 428-0046
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
NTP001071
GA
Other
Enumeration date
07/08/2016
Last updated
03/20/2024
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