| Mary Hall Freedom House, Inc. | |
|
8995 Roswell Rd Sandy Springs GA 30350-1849 | |
| (770) 642-5500 | |
| (770) 729-4481 |
| Full Name | Mary Hall Freedom House, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 8995 Roswell Rd, Sandy Springs, Georgia |
| Authorized Official Name and Position | Lucy G Hall (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4049159258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Hall Freedom House, Inc. Po Box 501205 Atlanta GA 31150-1205 Ph: (770) 642-5500 | Mary Hall Freedom House, Inc. 8995 Roswell Rd Sandy Springs GA 30350-1849 Ph: (770) 642-5500 |
| NPI Number | 1447701743 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447701743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 003139070A (Georgia) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 060-499-D (Georgia) | Primary |
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