| Good Landing Recovery, Corporation | |
|
256 Mcmillan Rd Ste B Dacula GA 30019-2337 | |
| (770) 570-7422 | |
| Not Available |
| Full Name | Good Landing Recovery, Corporation |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 256 Mcmillan Rd Ste B, Dacula, Georgia |
| Authorized Official Name and Position | Robert Pearson Lewis (CEO/OWNER) |
| Authorized Official Contact | 7705707422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Landing Recovery, Corporation 3437 Sandy Bank Dr Auburn GA 30011-4679 Ph: (770) 570-7422 | Good Landing Recovery, Corporation 256 Mcmillan Rd Ste B Dacula GA 30019-2337 Ph: (770) 570-7422 |
| NPI Number | 1992209811 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 03/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992209811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LPC005933 (Georgia) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (Georgia) | Secondary |
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