THE EXTENSION INC NPI 1730756719

NPI Information

  • NPI: 1730756719
  • Provider Name: THE EXTENSION INC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 11D2316623
  • Address: 1507 CHURCH STREET EXT NE
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 590-9075

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NPI Details

THE EXTENSION INC is a substance abuse rehabilitation facility in Marietta, 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. THE EXTENSION INC NPI is 1730756719. The provider is registered as an organization entity type.

The provider's business location address is:

1507 CHURCH STREET EXT NE
MARIETTA, GA
ZIP 30060-023
Phone: (770) 590-9075

The provider's authorized official is Stephanie Glover .
The authorized official title is Director Of Administration and has the following contact phone number (770) 590-9075.

The CLIA number assigned to this NPI record is 11D2316623 - other - res treatment facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2021 and was last updated on 6/8/2021.

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 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: 11/21/2025

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