Organization · NPI-2

Mary Hall Freedom House, INC.

Substance Abuse Rehabilitation Facility · Sandy Springs, GA

NPI number1609086008
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1609086008
Entity type
Organization (NPI-2)
Legal business name
Mary Hall Freedom House, INC.
Organization subpart
No
Enumeration date
May 23, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility060-499-DGAYes

Practice location

200 Hannover Park Road
Suite 100
Sandy Springs, GA 30350-1803

Phone 770-642-5500 · Fax 770-642-5406

Mailing address

Po Box 501205
Atlanta, GA 31150-1205

Phone 770-642-5500 · Fax 770-642-5406

Authorized official

Lucy Hall-Gainer
President & Ceo
7706425500

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Substance Abuse Rehabilitation Facility providers in Sandy Springs, GA