West Georgia Wellness Center LLC

NPI #1740987379 in Hiram, Georgia

Provider Information

NPI Number
1740987379
Entity Type
Organization
Organization Name
West Georgia Wellness Center LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Feb 14, 2023
Last Updated
Jan 8, 2026

Practice Location

Address
126 ENTERPRISE PATH STE 104B
City
Hiram
State
Georgia
ZIP Code
30141-2655
Phone
(609) 480-9853

Authorized Official

Name
ANDREW WIDOTA
Title
COO
Phone
(609) 480-9853

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility
Clinic/Center - Adult Mental HealthAdult Mental Health
Substance Abuse Rehabilitation Facility
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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