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OUTPATIENT DETOX CENTER OF GEORGIA LLC
NPI 1497431118
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Dacula, GA

Active since June 27, 2023
2340 WOOD CREEK CT, DACULA, GA 30019(470) 642-6210 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Outpatient Detox Center Of Georgia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTPATIENT DETOX CENTER OF GEORGIA LLC (NPI 1497431118) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Dacula, Georgia and active in the NPI registry since June 2023. The organization lists Zandria Hamilton, President, as its authorized official.

NPPES Registry Identity

NPI1497431118
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameOUTPATIENT DETOX CENTER OF GEORGIA LLC
Location Address2340 WOOD CREEK CTDacula, GA 30019-3170
Mailing Address2340 Wood Creek CtDacula, GA 30019-3170
Phone(470) 642-6210
Organization SubpartNo
Authorized OfficialZandria HamiltonPresident · (470) 642-6210
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1497431118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
2340 WOOD CREEK CT, Dacula, GA 30019
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Outpatient Detox Center Of Georgia LLC's NPI number?

The NPI number for Outpatient Detox Center Of Georgia LLC is 1497431118. It was assigned to this organization in the NPPES registry on June 27, 2023.

Where is Outpatient Detox Center Of Georgia LLC located?

Outpatient Detox Center Of Georgia LLC is located at 2340 Wood Creek Ct, Dacula, GA 30019. The listed phone number is (470) 642-6210.

What is Outpatient Detox Center Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Outpatient Detox Center Of Georgia LLC was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.