Organization · Type 2 NPI
The Jericho House
Substance Use Disorder Rehabilitation Clinic/Center · Cleveland, GA
NPI number
1528434149
Active
Practice location
6757 Duncan Bridge Rd
Cleveland, GA 30528-5170
Fax (706) 878-0037
Mailing address
3621 Highway 255 N
Sautee Nacoochee, GA 30571-2622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1528434149
The Jericho House's National Provider Identifier is 1528434149, issued on Aug 18, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Cleveland, GA. The record was last updated on Mar 30, 2016.