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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