Organization
GEORGIA RECOVERY CAMPUS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER BLACKLOCK (DIRECTOR OF OPERATIONS)
(678) 769-6594
Entity
Organization
Contact information
Practice address
211 GOOSE HOLLOW RD, REYNOLDS, GA 31076-3505
(478) 663-2222
Mailing address
211 GOOSE HOLLOW RD, REYNOLDS, GA 31076-3505
(478) 663-2222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
04/14/2026
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