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Black Swan Llc
Substance Use Disorder Rehabilitation Clinic/Center in Alpharetta, Georgia
NPI 1679275846

Black Swan Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Alpharetta, GA and is specialized in Rehabilitation, Substance Use Disorder. Black Swan Llc practices in Alpharetta, GA. The NPI Number for Black Swan Llc is 1679275846 and holds a License No. (Georgia).

The current practice location address for Black Swan Llc is 11030 Jones Bridge Rd Ste 300, Alpharetta, GA and can be reached out via phone at 470-664-4357.

Location: 11030 Jones Bridge Rd Ste 300, Alpharetta, GA, 30022-4560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679275846
Provider Name
Black Swan Llc
Credential
Provider Entity Type
Organization
Address
11030 Jones Bridge Rd Ste 300, Alpharetta, GA, 30022-4560
Phone Number
470-664-4357
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11030 Jones Bridge Rd Ste 300
City
Alpharetta
State
Georgia
Zip
30022-4560
Phone Number
470-664-4357
Fax Number
person
Provider Business Mailing Address Details
Address
11030 Jones Bridge Rd Ste 300
City
Alpharetta
State
Georgia
Zip
30022-4560
Phone Number
470-664-4357
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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