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Southern Sky Outpatient Detox, LLC — NPI 1619740719, Atlanta, GA | NPI Central

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NPI 1619740719

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Southern Sky Outpatient Detox, LLC

NPI 1619740719 · Substance Use Disorder Rehabilitation Clinic/Center · Atlanta, GA

Provider details

NPI number: 1619740719
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

Substance Use Disorder Rehabilitation Clinic/CenterPrimary261QR0405X
Ambulatory Health Care Facilities

Practice location

1810 Water Pl Se Ste 180

Atlanta, GA 30339-2282

Phone: (770) 659-5944

Approximate (ZIP-level) locationGet directions

More GA providers

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: 2023-11-01
Last updated: 2026-04-14
Certified: 2026-04-14

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