Organization
BREAKTHROUGH RECOVERY OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS JACOBS (EXECUTIVE DIRECTOR)
(770) 493-7750
Entity
Organization
Contact information
Practice address
3648 CHAMBLEE TUCKER RD, SUITE F, ATLANTA, GA 30341-4403
(770) 493-7750
(770) 493-5577
Mailing address
3648 CHAMBLEE TUCKER RD, SUITE F, ATLANTA, GA 30341-4403
(770) 493-7750
(770) 493-5577
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
044085D
GA
Other
Enumeration date
01/12/2011
Last updated
10/24/2014
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