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Bison Ridge Recovery Lodge, LLC — NPI 1033948559, Rome, GA | NPI Central

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NPI 1033948559

OrganizationActive

Bison Ridge Recovery Lodge, LLC

NPI 1033948559 · Substance Use Disorder Rehabilitation Clinic/Center · Rome, GA

Provider details

NPI number: 1033948559
Entity type: Organization
Primary specialty: Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Charlie Campbell, President(904) 302-3202

Specialties & taxonomies

Substance Use Disorder Rehabilitation Clinic/CenterPrimary261QR0405X
Ambulatory Health Care Facilities

Practice location

224 Lavender Trl Nw

Rome, GA 30165-7896

Phone: (770) 296-4555

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

4451 Alabama Hwy Nw

Rome, GA 30165-9200

Other names (DBA / former)

Doing business as: Bison Ridge Recovery Lodge

Registry dates

Enumerated: 2024-08-01
Last updated: 2024-08-01
Certified: 2024-08-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.