OrganizationActive
Southern Sky Outpatient Detox, LLC
NPI 1396515169 · Substance Use Disorder Rehabilitation Clinic/Center · Johns Creek, GA
Provider details
- NPI number
- 1396515169
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Denker, Managing Member(770) 659-5944
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11030 Jones Bridge Rd Ste 304
Johns Creek, GA 30022-4560
Phone: (770) 659-5944
Approximate (ZIP-level) locationGet directions
Mailing address
227 Sandy Springs Pl # D-298
Sandy Springs, GA 30328-5918
Other names (DBA / former)
- Doing business as
- Georgia Sky Outpatient Detox
Registry dates
- Enumerated
- 2024-01-03
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.