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SAINT ANDREWS OUTPATIENT SERVICES LLC NPI 1396295127


NPI Information

NPI: 1396295127
Provider Name: SAINT ANDREWS OUTPATIENT SERVICES, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1290 KENNESTONE CIR
SUITE102
MARIETTA, GA
ZIP 30066
Phone: (404) 237-5519
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SAINT ANDREWS OUTPATIENT SERVICES, LLC is a rehabilitation and substance use disorder clinic center in Marietta, GA. SAINT ANDREWS OUTPATIENT SERVICES, LLC NPI is 1396295127. The provider is registered as an organization entity type.

The provider's business location address is:

1290 KENNESTONE CIR
SUITE102
MARIETTA, GA
ZIP 30066-009
Phone: (404) 237-5519
Fax: (404) 262-2557

The provider's authorized official is Bud Hearn .
The authorized official title is Owner and has the following contact phone number (404) 606-0030.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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