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THREE DIMENSIONAL LIFE NPI 1932652039


NPI Information

NPI: 1932652039
Provider Name: THREE DIMENSIONAL LIFE
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
4141 OLD CORNELIA HWY
GAINESVILLE, GA
ZIP 30507
Phone: (770) 869-3551
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THREE DIMENSIONAL LIFE is a substance abuse treatment and children substance abuse rehabilitation facility in Gainesville, GA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. THREE DIMENSIONAL LIFE NPI is 1932652039. The provider is registered as an organization entity type.

The provider's business location address is:

4141 OLD CORNELIA HWY
GAINESVILLE, GA
ZIP 30507-784
Phone: (770) 869-3551
Fax: (770) 869-1426

The provider's authorized official is Benjamin Armstrong .
The authorized official title is Executive Director and has the following contact phone number (770) 869-3551.

The enumeration date for this NPI number is 7/26/2016 and was last updated on 7/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children669-366-DGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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