Organization · Type 2 NPI

Coweta Outpatient Detox, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Newnan, GA

NPI number 1609722990 Active

Practice location

80 Newnan Station Dr Ste F
Newnan, GA 30265-3194

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

About NPI 1609722990

Coweta Outpatient Detox, LLC's National Provider Identifier is 1609722990, issued on Mar 9, 2026. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Newnan, GA. The record was last updated on Mar 9, 2026.