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CONROC INC. DBA ROCKDALE HOUSES FOR MEN & WOMEN NPI 1043352305


NPI Information

NPI: 1043352305
Provider Name: CONROC, INC. DBA ROCKDALE HOUSES FOR MEN & WOMEN
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 11D2132552

Address:
1060 SCOTT ST SE
CONYERS, GA
ZIP 30012
Phone: (770) 483-3984
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CONROC, INC. DBA ROCKDALE HOUSES FOR MEN & WOMEN is a substance abuse rehabilitation facility in Conyers, 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. CONROC, INC. DBA ROCKDALE HOUSES FOR MEN & WOMEN NPI is 1043352305. The provider is registered as an organization entity type.

The provider's business location address is:

1060 SCOTT ST SE
CONYERS, GA
ZIP 30012-460
Phone: (770) 483-3984

The provider's authorized official is Frances Medinger .
The authorized official title is Chairperson, Board Of Directors and has the following contact phone number (770) 483-0213.

The CLIA number assigned to this NPI record is 11D2132552 - other - subs abuse recovery resid with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.


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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