| Gray Matter Wellness Center | |
|
982 Ga-124 Hoschton GA 30548 | |
| (404) 960-9629 | |
| Not Available |
| Full Name | Gray Matter Wellness Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 982 Ga-124, Hoschton, Georgia |
| Authorized Official Name and Position | Stephanie Kate Gulley (SR. VP CO-FOUNDER) |
| Authorized Official Contact | 4049609629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Matter Wellness Center 1864 Soque Cir Jefferson GA 30549-2307 Ph: (404) 960-9629 | Gray Matter Wellness Center 982 Ga-124 Hoschton GA 30548 Ph: (404) 960-9629 |
| NPI Number | 1922857580 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922857580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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