Organization
RESILIENT ROOTS THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN LISA KAUFMAN (CEO)
(248) 756-4004
Entity
Organization
Contact information
Practice address
4484 PINERIDGE CIR, DUNWOODY, GA 30338-6540
(248) 756-4004
Mailing address
4484 PINERIDGE CIR, DUNWOODY, GA 30338-6540
(248) 756-4004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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