Outpatient Detox Center of Georgia LLC
NPI #1497431118 in Dacula, Georgia
Provider Information
- NPI Number
- 1497431118
- Entity Type
- Organization
- Organization Name
- Outpatient Detox Center of Georgia LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Enumeration Date
- Jun 27, 2023
- Last Updated
- Jun 27, 2023
Practice Location
Authorized Official
- Name
- ZANDRIA HAMILTON
- Title
- PRESIDENT
- Phone
- (470) 642-6210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
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