Organization
PEACHTREE DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE CRAIG (VP OF FACILITY OPERATIONS)
(561) 797-3264
Entity
Organization
Contact information
Practice address
1008 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4515
(000) 000-0000
Mailing address
1008 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4515
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
11/18/2024
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