OrganizationActive
Atlanta Detox Center, LLC
NPI 1679155337 · Mental Health Clinic/Center (Including Community Mental Health Center) · Riverdale, GA
Provider details
- NPI number
- 1679155337
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Atlanta Detox Center, LLC
- Authorized official
- Jessie Costley, Licensing and Credentialing Special
Practice location
277 Medical Way
Riverdale, GA 30274-2522
Phone: (470) 298-7236
Fax: (470) 300-8480
Mailing address
277 Medical Way
Riverdale, GA 30274-2522
Registry dates
- Enumerated
- 2021-04-22
- Last updated
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.