NPIMap

Organization Active NPI

Georgia Detox and Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Marietta, GA
National Provider Identifier
1609276856
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
033-251-D Issued in GA
Legal business name
GEORGIA DETOX AND RECOVERY, LLC
Practice address
1640 Powers Ferry Rd SE
BLDG 28, Ste 100
Marietta, GA 30067-5491
Phone
(404) 941-8993
NPI assigned
Aug 25, 2014
Last updated
Jul 28, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVERMEND HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Debra Townsend, MPH, MBA
Title
VP of Revenue Cycle
Phone
(470) 440-1647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 033-251-D GA Primary

Addresses

Primary practice location

1640 Powers Ferry Rd SE
BLDG 28, Ste 100
Marietta, GA 30067-5491

Mailing address

2300 Windy Ridge Parkway
Suite 210S
Atlanta, GA 30339
Phone (470) 440-1647

National Provider Directory

National Provider Directory
Tax ID family
Georgia Detox and Recovery Centers LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1640 Powers Ferry Rd SE
Bldg 28
Marietta, GA 30067
Phone (404) 941-8993

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1609276856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WINDY RIDGE PARKWAY",
            "address_2": "SUITE 210S",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "470-440-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BLDG 28, STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "404-941-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DETOX AND RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERMEND HEALTH, LLC",
        "enumeration_date": "2014-08-25",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "470-440-1647",
        "authorized_official_credential": "MPH, MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "033-251-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.