11D2273547 CLIA NUMBER - RED TOP WELLNESS CENTER, LLC

Laboratory Demographics

CLIA Number: 11D2273547

Facility Name: RED TOP WELLNESS CENTER, LLC

Facility Address:
5 BOWEN COURT
CARTERSVILLE, GA
ZIP 30120
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Facility Phone Number: 609 517-9258

Facility Type: Other - SUBSTANCE ABUSE SERVICES

Certificate Type: Waiver

NPI Number: 1346952850

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	11D2273547
LAB Type	Other - SUBSTANCE ABUSE SERVICES
Facility Name	RED TOP WELLNESS CENTER, LLC
Street	5 BOWEN COURT
City	CARTERSVILLE
State	GA
ZIP	30120
Phone	609 517-9258
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024