NPI 1043815202

Creekside Recovery Residences, LLC

Organisation Case Management Agency Brookhaven, GA

Practice location

Address: 2940 Mabry Rd NE, Brookhaven, GA 30319-2605
Phone: (404) 333-2277

Authorised official

Name: Carter Pope
Title: Ceo
Phone: (404) 333-2277

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1043815202
Entity type: Organization
NPI issued: 3 Dec 2020
Record last updated: 3 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.