NPI 1104553460
Lory Health INC
Practice location
- Address
- 1575 Adelia Pl NE, Atlanta, GA 30329-3805
- Phone
- (412) 818-4115
Authorised official
- Name
- Levi Small
- Title
- Ceo
- Phone
- (412) 818-4115
Registered specialties (6)
Substance Abuse Rehabilitation Facility
Primary
Addiction (Substance Use Disorder) Counselor
Social Worker
Addiction Medicine (Internal Medicine) Physician
Psychiatry Physician
Community/Behavioral Health Agency
Registry record
- NPI
- 1104553460
- Entity type
- Organization
- NPI issued
- 5 Aug 2022
- Record last updated
- 5 Aug 2022
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.