Active NPI
Sanative Recovery and Wellness Ga LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Roswell, GA
National Provider Identifier
1740974443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SANATIVE RECOVERY AND WELLNESS GA LLC
- Practice address
- 1000 Holcomb Woods Pkwy Ste 112
Roswell, GA 30076-2588 - Phone
- (943) 777-3250
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Engel
- Title
- Ceo
- Phone
- (732) 285-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
1000 Holcomb Woods Pkwy Ste 112
Roswell, GA 30076-2588
Mailing address
1195 N Maple Ave
Toms River, NJ 08755-1321
National Provider Directory
National Provider DirectoryLocations
1000 Holcomb Woods Pkwy
Ste 112
Roswell, GA 30076
Phone (943) 777-3250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1740974443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1195 N MAPLE AVE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087551321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HOLCOMB WOODS PKWY STE 112",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762588",
"telephone_number": "943-777-3250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANATIVE RECOVERY AND WELLNESS GA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "ENGEL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "732-285-4800"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.