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GEORGIA SKY OUTPATIENT DETOX, LLC
NPI 1528801594
Clinic/Center - Rehabilitation, Substance Use Disorder in Lawrenceville, GA

Active since June 17, 2024
1156 MCKENDREE CHURCH RD, LAWRENCEVILLE, GA 30043(770) 659-5944 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Georgia Sky Outpatient Detox, Llc NPPES

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

GEORGIA SKY OUTPATIENT DETOX, LLC (NPI 1528801594) is a healthcare organization registered as a rehabilitation, substance use disorder in Lawrenceville, Georgia and active in the NPI registry since June 2024. The organization lists Jonathan Denker, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1528801594
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSOUTHERN SKY OUTPATIENT DETOX, LLC
Location Address1156 MCKENDREE CHURCH RDLawrenceville, GA 30043-5272
Mailing Address227 Sandy Springs Pl # D-298Sandy Springs, GA 30328-5918
Phone(770) 659-5944
Organization SubpartNo
Authorized OfficialJonathan DenkerManaging Member · (770) 659-5944
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1528801594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1156 MCKENDREE CHURCH RD, Lawrenceville, GA 30043
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Other Names 1

Doing Business AsGeorgia Sky Outpatient Detox, Llc

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 Southern Sky Outpatient Detox, LLC's NPI number?

The NPI number for Southern Sky Outpatient Detox, LLC is 1528801594. It was assigned to this organization in the NPPES registry on June 17, 2024. The provider is doing business as Georgia Sky Outpatient Detox, LLC.

Where is Southern Sky Outpatient Detox, LLC located?

Southern Sky Outpatient Detox, LLC is located at 1156 Mckendree Church Rd, Lawrenceville, GA 30043. The listed phone number is (770) 659-5944.

What is Southern Sky Outpatient Detox, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Southern Sky Outpatient Detox, LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.