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ATLANTA DETOX CENTER, LLC
NPI 1679155337
Clinic/Center - Mental Health (Including Community Mental Health Center) in Riverdale, GA

Active since April 22, 2021
277 MEDICAL WAY, RIVERDALE, GA 30274(470) 298-7236(470) 300-8480 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Atlanta Detox Center, Llc NPPES

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

ATLANTA DETOX CENTER, LLC (NPI 1679155337) is a healthcare organization registered as a mental health (including community mental health center) in Riverdale, Georgia and active in the NPI registry since April 2021. The organization lists Jessie Costley, Licensing And Credentialing Special, as its authorized official.

NPPES Registry Identity

NPI1679155337
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameATLANTA DETOX CENTER, LLC
Location Address277 MEDICAL WAYRiverdale, GA 30274-2522
Mailing Address277 Medical WayRiverdale, GA 30274-2522 · (470) 298-7236 · Fax (470) 300-8480
Phone(470) 298-7236
Fax(470) 300-8480
Organization SubpartYes
Authorized OfficialJessie CostleyLicensing And Credentialing Special · (410) 807-8471
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1679155337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
277 MEDICAL WAY, Riverdale, GA 30274
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTA DETOX CENTER, LLC
Substance Abuse Rehabilitation Facility
277 MEDICAL WAY
RIVERDALE, GA 30274
Clayton County (800) 497-5842
ROBYN KELLY GOODART
Counselor (Addiction (Substance Use Disorder))
277 MEDICAL WAY
RIVERDALE, GA 30274
Clayton County (470) 298-7236
SCOTT ALEXANDER GIBSON LPN
Licensed Practical Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Clayton County (470) 298-7236
LEQUAWN MONTRELL JAMES
Nurse Practitioner (Adult Health)
277 MEDICAL WAY
RIVERDALE, GA 30274
Clayton County (347) 735-1504
FELLOWSHIP ASSISTED LIVING LLC
Assisted Living Facility
277 MEDICAL WAY
RIVERDALE, GA 30274
Clayton County (770) 909-0221
AKILI PENN
Licensed Practical Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Clayton County (470) 298-7236
KATE ROTIMI-SAMUEL RN
Registered Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Clayton County (470) 298-7236

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 Atlanta Detox Center, LLC's NPI number?

The NPI number for Atlanta Detox Center, LLC is 1679155337. It was assigned to this organization in the NPPES registry on April 22, 2021.

Where is Atlanta Detox Center, LLC located?

Atlanta Detox Center, LLC is located at 277 Medical Way, Riverdale, GA 30274. The listed phone number is (470) 298-7236.

What is Atlanta Detox Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Atlanta Detox Center, LLC was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.