Organization
CENTERED RECOVERY PROGRAMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS CATTON (MANAGING DIRECTOR)
(770) 410-4894
Entity
Organization
Contact information
Practice address
1000 PIEDMONT RD, MARIETTA, GA 30066-4032
(678) 324-0593
(678) 324-0952
Mailing address
1000 PIEDMONT RD, MARIETTA, GA 30066-4032
(678) 324-0593
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033-528-D
DATEP LICENSE THROUGH DCH
GA
Enumeration date
11/08/2018
Last updated
11/08/2018
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