OrganizationActive
Kingston Wellness Retreat LLC
NPI 1497551337 · Psychiatric Residential Treatment Facility · Kingston, GA
Provider details
- NPI number
- 1497551337
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Danielle Craig, Vp Facility Operations(561) 797-3264
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
45 E Howard St
Kingston, GA 30145-3003
Phone: (561) 797-3264
Approximate (ZIP-level) locationGet directions
Mailing address
100 Governors Trce Ste 101
Peachtree City, GA 30269-4853
Registry dates
- Enumerated
- 2025-02-21
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.