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Georgia Ctc, Llc
Methadone Clinic in Dallas, Georgia
NPI 1407582042

Georgia Ctc, Llc is a Methadone Clinic based in Carlsbad, GA and is specialized in Methadone. Georgia Ctc, Llc practices in Dallas, GA. The NPI Number for Georgia Ctc, Llc is 1407582042 and holds a License No. (Georgia).

The current practice location address for Georgia Ctc, Llc is 311 White Ingram Pkwy, Dallas, GA and can be reached out via phone at 678-363-7447.

Location: 311 White Ingram Pkwy, Dallas, GA, 92011-1151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407582042
Provider Name
Georgia Ctc, Llc
Credential
Provider Entity Type
Organization
Address
311 White Ingram Pkwy, Dallas, GA, 92011-1151
Phone Number
678-363-7447
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
311 White Ingram Pkwy
City
Dallas
State
Georgia
Zip
30132-0969
Phone Number
678-363-7447
Fax Number
person
Provider Business Mailing Address Details
Address
311 White Ingram Pkwy
City
Dallas
State
Georgia
Zip
30132-0969
Phone Number
678-363-7447
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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