Organization
RECOVERY OUTFITTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CASTRO SEYMOUR MSCM (EXECUTIVE DIRECTOR)
(678) 947-6550
Entity
Organization
Contact information
Practice address
1300 PEACHTREE PKWY, CUMMING, GA 30041-9503
(678) 947-6550
(678) 947-6594
Mailing address
564 PEACHTREE PKWY, SUITE 107, CUMMING, GA 30041-9327
(678) 947-6550
(888) 877-6550
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
067-379-D
GA
Other
Enumeration date
03/03/2010
Last updated
01/06/2012
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