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GEORGIA RECOVERY CAMPUSLLC NPI 1952093114


NPI Information

NPI: 1952093114
Provider Name: GEORGIA RECOVERY CAMPUS,LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 11D2281771

Address:
211 GOOSE HOLLOW RD
REYNOLDS, GA
ZIP 31076
Phone: (478) 663-2222
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GEORGIA RECOVERY CAMPUS,LLC is a substance abuse rehabilitation facility in Reynolds, 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. GEORGIA RECOVERY CAMPUS,LLC NPI is 1952093114. The provider is registered as an organization entity type.

The provider's business location address is:

211 GOOSE HOLLOW RD
REYNOLDS, GA
ZIP 31076-505
Phone: (478) 663-2222

The provider's authorized official is Andrea Simmons .
The authorized official title is Director Of Operations and has the following contact phone number (706) 499-1475.

The CLIA number assigned to this NPI record is 11D2281771 - other - in-patient drug/alc rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2023 and was last updated on 5/24/2023.


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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