KENNESAW TRAUMA AND ADDICTION CENTER NPI 1639849300

NPI Information

NPI: 1639849300
Provider Name: KENNESAW TRAUMA AND ADDICTION CENTER
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3745 CHEROKEE ST NW STE 101
KENNESAW, GA
ZIP 30144
Phone: (828) 333-8595
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KENNESAW TRAUMA AND ADDICTION CENTER is a multi-specialty clinic center in Kennesaw, GA. KENNESAW TRAUMA AND ADDICTION CENTER NPI is 1639849300. The provider is registered as an organization entity type.

The provider's business location address is:

3745 CHEROKEE ST NW STE 101
KENNESAW, GA
ZIP 30144-790
Phone: (828) 333-8595

The provider's authorized official is Renee Lynn Arbogast-clemmons .
The authorized official title is President and has the following contact phone number (828) 333-8595.

The enumeration date for this NPI number is 9/15/2021 and was last updated on 9/15/2021.

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	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
2	276400000X	Rehabilitation, Substance Use Disorder Unit		No
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	251S00000X	Community/Behavioral Health		No
5	261QM1300X	Clinic/Center	Multi-Specialty	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: 5/5/2024

NPI Synchronization or Removal

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