Atlanta Detox Center, Llc

LBN: Atlanta Detox Center, Llc
Atlanta Detox Center, Llc is an health care organization with primary practice located at 277 Medical Way , Riverdale GA 30274-2522. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Atlanta Detox Center, Llc can be contacted via phone (470) 298-7236, or through Costley, Jessie via phone (410) 807-8471.

Contact Information

Primary practice address
277 Medical Way Riverdale GA 30274-2522
Phone: (470) 298-7236
Fax: (470) 300-8480
Website:
Map and Directions
Authorized official contact:
Name: Costley, Jessie
Phone: (410) 807-8471

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1679155337
LBN Legal business name Atlanta Detox Center, Llc
DBA Doing business as
Authorized official Costley, Jessie
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 22nd, 2021
Last updated Apr 22nd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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