Organization
GOOD LANDING RECOVERY, CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PEARSON LEWIS III (CEO/OWNER)
(770) 570-7422
Entity
Organization
Contact information
Practice address
256 MCMILLAN RD STE B, DACULA, GA 30019-2337
(770) 570-7422
Mailing address
3437 SANDY BANK DR, AUBURN, GA 30011-4679
(770) 570-7422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC005933
GA
324500000X
Substance Abuse Rehabilitation Facility
—
GA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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