Hooked On Hope LLC

NPI #1992402531 in Hiram, Georgia

Provider Information

NPI Number: 1992402531
Entity Type: Organization
Organization Name: Hooked On Hope 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 207
City: Hiram
State: Georgia
ZIP Code: 30141-2654
Phone: (609) 480-9853

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Substance Abuse Rehabilitation Facility	324500000X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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