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West Georgia Wellness Center Llc
Substance Abuse Rehabilitation Facility in Hiram, Georgia
NPI 1740987379

West Georgia Wellness Center Llc is a Substance Abuse Rehabilitation Facility based in Acworth, GA. West Georgia Wellness Center Llc practices in Hiram, GA. The NPI Number for West Georgia Wellness Center Llc is 1740987379 and holds a License No. (Georgia).

The current practice location address for West Georgia Wellness Center Llc is 126 Enterprise Path Ste 104B, Hiram, GA and can be reached out via phone at 609-480-9853.

Location: 126 Enterprise Path Ste 104B, Hiram, GA, 30102-7956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740987379
Provider Name
West Georgia Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
126 Enterprise Path Ste 104B, Hiram, GA, 30102-7956
Phone Number
609-480-9853
Fax Number
Provider Enumeration Date
02/14/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
126 Enterprise Path Ste 104B
City
Hiram
State
Georgia
Zip
30141-2655
Phone Number
609-480-9853
Fax Number
person
Provider Business Mailing Address Details
Address
126 Enterprise Path Ste 104B
City
Hiram
State
Georgia
Zip
30141-2655
Phone Number
609-480-9853
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...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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