| NPI | 1770323263 |
|---|---|
| Doing Business As | OPTIMUM GLOW TREATMENT CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | DENIKA WORKMAN Executive Director 470-452-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-09-29 |