| NPI | 1528801594 |
|---|---|
| Doing Business As | GEORGIA SKY OUTPATIENT DETOX, LLC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN DENKER Managing Member 770-659-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |