Black Swan LLC
NPI #1679275846 in Alpharetta, Georgia
Provider Information
- NPI Number
- 1679275846
- Entity Type
- Organization
- Organization Name
- Black Swan LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 20, 2023
- Last Updated
- Dec 1, 2025
Practice Location
- Address
- 4625 ALEXANDER DR STE 200
- City
- Alpharetta
- State
- Georgia
- ZIP Code
- 30022-3721
- Phone
- (404) 513-5640
Authorized Official
- Name
- TODD WILSON
- Title
- CEO
- Phone
- (404) 513-5640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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