Organization
COBB OUTPATIENT DETOX, LLC
Active
Organization
COBB OUTPATIENT DETOX, LLC
Active
Other names
Cobb Outpatient Detox, LLC, Metro Atlanta Outpatient Detox
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CHANCY (MANAGER)
(470) 222-1219
Entity
Organization
Contact information
Practice address
811 LIVINGSTON CT SE STE B, MARIETTA, GA 30067-8958
(678) 439-6441
(470) 857-8728
Mailing address
811 LIVINGSTON CT SE STE B, MARIETTA, GA 30067-8958
(678) 439-6441
(470) 857-8728
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2025
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