United Health & Wellness Detox, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

UNITED HEALTH & WELLNESS DETOX, INC

Practice address

3212 Shrine Rd
Brunswick, GA 31520-4353

Phone

(912) 342-8999

Fax

(912) 342-7541

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Maria Luisa Way

Title

Owner

Phone

(912) 342-8999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1891384954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204353",
            "telephone_number": "912-342-8999",
            "fax_number": "912-342-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204353",
            "telephone_number": "912-342-8999",
            "fax_number": "912-342-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH & WELLNESS DETOX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-342-8999"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.