BISON RIDGE RECOVERY LODGE, LLC is a rehabilitation and substance use disorder clinic center in Rome, GA. BISON RIDGE RECOVERY LODGE, LLC NPI is 1033948559. The provider is registered as an organization entity type.
The provider's business location address is:
224 LAVENDER TRL NW ROME, GA ZIP 30165-896 Phone: (770) 296-4555
The provider's authorized official is Charlie Campbell . The authorized official title is President and has the following contact phone number (904) 302-3202.
The CLIA number assigned to this NPI record is 11D2308870 - other - transitional housing with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/1/2024 and was last updated on 8/1/2024.
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:
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: 3/30/2025
NPI Synchronization or Removal
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