| Meadows Outpatient Center Georgia Llc | |
|
5607 Glenridge Dr Atlanta GA 30342-7200 | |
| (602) 256-3020 | |
| Not Available |
| Full Name | Meadows Outpatient Center Georgia Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5607 Glenridge Dr, Atlanta, Georgia |
| Authorized Official Name and Position | Tracy Elizabeth Livingston (VICE PRESIDENT REVENUE CYCLE MGMT) |
| Authorized Official Contact | 6022563020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadows Outpatient Center Georgia Llc 19820 N 7th St Ste 205 Phoenix AZ 85024-1694 Ph: (602) 256-3020 | Meadows Outpatient Center Georgia Llc 5607 Glenridge Dr Atlanta GA 30342-7200 Ph: (602) 256-3020 |
| NPI Number | 1336827724 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336827724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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