Organization
RENAISSANCE RECOVERY GROUP INC
Active
Other names
North Fulton Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA WANZO MD (MEDICAL DIRECTOR)
(770) 754-4674
Entity
Organization
Contact information
Practice address
601 BOMBAY LN, ROSWELL, GA 30076-5828
(770) 754-4674
(770) 754-4676
Mailing address
601 BOMBAY LN, ROSWELL, GA 30076-5828
(770) 754-4674
(770) 754-4676
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
NTP001016
GA
Other
Enumeration date
07/13/2010
Last updated
11/19/2025
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