GEORGIA DETOX AND RECOVERY LLC NPI 1386009520

NPI Information

NPI: 1386009520
Provider Name: GEORGIA DETOX AND RECOVERY, LLC

Doing Business As: GDRC - AUGUSTA

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2812 HILLCREEK DR STE B
AUGUSTA, GA
ZIP 30909
Phone: (844) 242-0806
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GEORGIA DETOX AND RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Augusta, GA. GEORGIA DETOX AND RECOVERY, LLC NPI is 1386009520. The provider is registered as an organization entity type.
The provider Is Doing Business As Gdrc - Augusta.

The provider's business location address is:

2812 HILLCREEK DR STE B
AUGUSTA, GA
ZIP 30909-632
Phone: (844) 242-0806

The provider's authorized official is Tyeast Reynolds .
The authorized official title is Director Of Rcm and has the following contact phone number (678) 813-0428.

The enumeration date for this NPI number is 12/15/2015 and was last updated on 4/11/2019.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	121-253-D	GEORGIA	Yes

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: 4/28/2024

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