OrganizationActive
Cobb Outpatient Detox, LLC
NPI 1871276105 · Substance Use Disorder Rehabilitation Clinic/Center · Marietta, GA
Provider details
- NPI number
- 1871276105
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Chancy, Manager(470) 222-1219
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
811 Livingston Ct Se Ste B
Marietta, GA 30067-8958
Phone: (678) 439-6441
Fax: (470) 857-8728
Approximate (ZIP-level) locationGet directions
Mailing address
811 Livingston Ct Se Ste B
Marietta, GA 30067-8958
Other names (DBA / former)
- Other name
- Cobb Outpatient Detox, LLC
- Doing business as
- Metro Atlanta Outpatient Detox
Additional practice locations (1)
- 2700 Northeast Expy Ne Ste C650Atlanta, GA 30345-1899Phone: (859) 304-4047Fax: (470) 227-8522
Registry dates
- Enumerated
- 2023-08-11
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.