OrganizationActive
Center for Intentional Wellness, LLC
NPI 1780448670 · Substance Use Disorder Rehabilitation Clinic/Center · Norcross, GA
Provider details
- NPI number
- 1780448670
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamil David, Owner(229) 395-8243
Specialties & taxonomies
Ambulatory Health Care Facilities
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
3295 River Exchange Dr Ste 400
Norcross, GA 30092-4221
Phone: (229) 395-8243
Fax: (678) 550-6860
Approximate (ZIP-level) locationGet directions
Mailing address
3295 River Exchange Dr Ste 400
Norcross, GA 30092-4221
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-08-12
- Certified
- 2024-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.