Organization · Type 2 NPI
Southeast Detox LLC
Substance Abuse Rehabilitation Facility · Rome, GA
NPI number
1710652052
Active
Practice location
4300 Martha Berry Hwy NE
Rome, GA 30165-8642
Mailing address
2328 10th Ave N Ste 202
Lake Worth, FL 33461-6612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2 other providers at this address
Other substance abuse rehabilitation facility providers in Rome
About NPI 1710652052
Southeast Detox LLC's National Provider Identifier is 1710652052, issued on Aug 10, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Rome, GA. The record was last updated on Aug 10, 2021.