Organization
RISING SUN RECOVERY, INC.
Active
Other names
Rising Sun Recovery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RAY MOON CPS-AD (EXECUTIVE DIRECTOR)
(404) 200-8907
Entity
Organization
Contact information
Practice address
3446 PARSONS GREENE CT, POWDER SPRINGS, GA 30127-4428
(404) 200-8907
Mailing address
3446 PARSONS GREENE CT, POWDER SPRINGS, GA 30127-4428
(404) 200-8907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003319738A
—
GA
Enumeration date
01/29/2024
Last updated
05/10/2025
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