Healthqwest Frontiers LLC

NPI #1609224336 in Buford, Georgia

Provider Information

NPI Number
1609224336
Entity Type
Organization
Organization Name
Healthqwest Frontiers LLC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Jun 3, 2016
Last Updated
Sep 2, 2021

Practice Location

Address
4271 SOUTH LEE ST.
Address 2
SUITE 101 & 102
City
Buford
State
Georgia
ZIP Code
30518
Phone
(678) 765-8160

Authorized Official

Name
ROBYN TANIS
Title
EXECUTIVE DIRECTOR OF CONTRACT MGMT
Phone
(856) 533-8762

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Recovery CareRecovery Care
Clinic/Center - MethadoneMethadone

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