Organization
PLATINUM RECOVERY LLC
Active
Other names
Platinum Recovery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN POWELL (PROGRAM DIRECTOR)
(229) 944-4047
Entity
Organization
Contact information
Practice address
1560 E FORSYTH ST APT D, AMERICUS, GA 31709-3836
(229) 944-4047
(229) 944-4048
Mailing address
1560 E FORSYTH ST, AMERICUS, GA 31709-3836
(229) 944-4047
(229) 944-4048
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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