Organization · NPI-2
Mary Hall Freedom House, INC.
Substance Abuse Rehabilitation Facility · Sandy Springs, GA
NPI number1447701743
StatusActive
Last updated in NPPESApr 20, 2021
Details
- NPI
- 1447701743
- Entity type
- Organization (NPI-2)
- Legal business name
- Mary Hall Freedom House, INC.
- Organization subpart
- No
- Enumeration date
- Oct 21, 2016
- Certification date
- Apr 20, 2021
- Last updated
- Apr 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 060-499-D | GA | Yes |
| 251S00000X | Community/Behavioral Health | 003139070A | GA |
Practice location
8995 Roswell RdSandy Springs, GA 30350-1849
Phone 770-642-5500 · Fax 770-729-4481
Mailing address
Po Box 501205Atlanta, GA 31150-1205
Phone 770-642-5500 · Fax 770-729-4481
Authorized official
Lucy G Hall
Chief Executive Officer
4049159258
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