Golden Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GOLDEN RECOVERY, LLC

Practice address

500 W Main St
Thomaston, GA 30286-6209

Phone

(678) 688-4625

Fax

(678) 688-4625

NPI assigned

Dec 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Iris Bryant, PROGRAM DIRECTOR

Title

Director

Phone

(770) 688-4625

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden Recovery, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1487314274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "WILLIAMSON",
            "state": "GA",
            "postal_code": "302920791",
            "telephone_number": "770-688-4625",
            "fax_number": "678-688-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302866209",
            "telephone_number": "678-688-4625",
            "fax_number": "678-688-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-688-4625",
        "authorized_official_credential": "PROGRAM DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG TREATMENT",
            "identifier": "101Y00000X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Recovery, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Thomaston, GA
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.