Addiction Healing Center, Llc

NPI 1164772984 - Clinic/Center - 261QR0405X

NPI Details
NPI 1164772984
Enumeration Date 09/19/2012
Last Updated 09/19/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SUSAN KAYE SUSAN
Position CMO
Phone (770) 696-9862
Fax (770) 710-0243
Practice Location
1846 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE GA, 30044-8801, US
Phone (770) 696-9862
Fax (770) 710-0243
Business Location
1846 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE GA, 30044-8801, US
Phone (770) 696-9862
Fax (770) 710-0243
Toxanomy
Taxonomy Code 261QR0405X
License State
License Number
Remove 1164772984 NPI Number
 

According to our database, Addiction Healing Center, Llc NPI is 1164772984, taxonomy code is 261QR0405X Addiction Healing Center, Llc physically located at 1846 Old Norcross Rd, Lawrenceville GA, 30044-8801. NPI Number 1033115704 has the healthcare provider type.

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1164772984 NPI number is provided on an as is basis without warranty of any kind. 1164772984 is maintained by the National Plan & Provider Enumeration System. The contents of Addiction Healing Center, Llc are for informational purposes only.