Organization · Type 2 NPI
Southern Sky Outpatient Detox, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Atlanta, GA
NPI number
1619740719
Active
Practice location
1810 Water Pl SE Ste 180
Atlanta, GA 30339-2282
Mailing address
227 Sandy Springs Pl # D-298
Sandy Springs, GA 30328-5918
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...
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About NPI 1619740719
Southern Sky Outpatient Detox, LLC's National Provider Identifier is 1619740719, issued on Nov 1, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Atlanta, GA. The record was last updated on Apr 14, 2026.