Organization
CENTERED RECOVERY PROGRAMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA SMITH (MANAGING DIRECTOR)
(770) 410-4894
Entity
Organization
Contact information
Practice address
11111 HOUZE RD STE 101, ROSWELL, GA 30076-1464
(770) 410-4894
Mailing address
11111 HOUZE RD STE 101, ROSWELL, GA 30076-1464
(770) 410-4894
(770) 410-4897
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
060-468-D
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-468-D
STATE LICENSE NUMBER
GA
Enumeration date
09/15/2017
Last updated
03/08/2024
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