| Life Rediscovery Center, Llc | |
|
113 Upper Riverdale Rd Sw Riverdale GA 30274-2540 | |
| (678) 545-6768 | |
| (678) 528-9489 |
| Full Name | Life Rediscovery Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 113 Upper Riverdale Rd Sw, Riverdale, Georgia |
| Authorized Official Name and Position | Felicia Watts (CEO) |
| Authorized Official Contact | 6785456768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Rediscovery Center, Llc 113 Upper Riverdale Rd Sw Riverdale GA 30274-2540 Ph: (678) 545-6768 | Life Rediscovery Center, Llc 113 Upper Riverdale Rd Sw Riverdale GA 30274-2540 Ph: (678) 545-6768 |
| NPI Number | 1427416577 |
|---|---|
| Provider Enumeration Date | 02/03/2016 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427416577 | NPI | - | NPPES |
| 003212493A | Medicaid | GA |
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