| Modern Recovery, Inc. | |
|
11555 Medlock Bridge Rd Ste 100 Johns Creek GA 30097-3200 | |
| (844) 991-0555 | |
| Not Available |
| Full Name | Modern Recovery, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 11555 Medlock Bridge Rd Ste 100, Johns Creek, Georgia |
| Authorized Official Name and Position | Andre Bahbah (DIRECTOR OF RCM) |
| Authorized Official Contact | 7542706654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Recovery, Inc. 11555 Medlock Bridge Rd Ste 100 Johns Creek GA 30097-3200 Ph: () - | Modern Recovery, Inc. 11555 Medlock Bridge Rd Ste 100 Johns Creek GA 30097-3200 Ph: (844) 991-0555 |
| NPI Number | 1174280457 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174280457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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