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ATLANTA DETOX CENTER LLC NPI 1033694864


NPI Information

NPI: 1033694864
Provider Name: ATLANTA DETOX CENTER, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 11D2143139

Address:
277 MEDICAL WAY
RIVERDALE, GA
ZIP 30274
Phone: (800) 497-5842
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ATLANTA DETOX CENTER, LLC is a substance abuse rehabilitation facility in Riverdale, GA. The provider is 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. ATLANTA DETOX CENTER, LLC NPI is 1033694864. The provider is registered as an organization entity type.

The provider's business location address is:

277 MEDICAL WAY
RIVERDALE, GA
ZIP 30274-522
Phone: (800) 497-5842

The provider's authorized official is Michael Silberman .
The authorized official title is Ceo and has the following contact phone number (410) 807-8471.

The CLIA number assigned to this NPI record is 11D2143139 - other - screen/urine analysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2018 and was last updated on 12/1/2022.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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