Organization · Type 2 NPI
Kennesaw Trauma and Addiction Center
Mental Illness Community Based Residential Treatment Facility · Kennesaw, GA
NPI number
1639849300
Active
Practice location
3745 Cherokee St NW Ste 101
Kennesaw, GA 30144-6790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2 other providers at this address
About NPI 1639849300
Kennesaw Trauma and Addiction Center's National Provider Identifier is 1639849300, issued on Sep 15, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Kennesaw, GA. The record was last updated on Feb 6, 2025.