NPI | 1871276105 |
---|---|
Other Name | COBB OUTPATIENT DETOX, LLC |
Doing Business As | METRO ATLANTA OUTPATIENT DETOX |
Entity Type | Organization |
Authorized Contact | GREGORY CHANCY Manager 470-222-1219 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-08-11 |
Last Update Date | 2025-08-11 |