Organization · Type 2 NPI
Potters Hands Institute LLC
Substance Use Disorder Rehabilitation Clinic/Center · Villa Rica, GA
NPI number
1386964690
Active
Practice location
307 Old Stone Rd
Villa Rica, GA 30180-1214
Fax (770) 459-8919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | DRUG000750 (GA) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
6 other providers at this address
- Mobolaji Shalom Oyebanjo, IncPsychiatry Physician Villa Rica, GA NPI 1922280684
- April C. Thomas, LPCProfessional Counselor Villa Rica, GA NPI 1881967677
- Jason Fordyce, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Villa Rica, GA NPI 1346816865
- Larry Dewitt Fuller Jr., M.A.Professional Counselor Villa Rica, GA NPI 1700209327
- Mardeea Jartu, LPCProfessional Counselor Villa Rica, GA NPI 1760932685
- Omobolaji Oluseyi Oyebanjo Popoola, MDAddiction Psychiatry Physician Villa Rica, GA NPI 1578754503
About NPI 1386964690
Potters Hands Institute LLC's National Provider Identifier is 1386964690, issued on Jun 9, 2010. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Villa Rica, GA. The record was last updated on Jun 9, 2010.