Organization · Type 2 NPI
Optimum Glow Treatment Center LLC
Substance Use Disorder Rehabilitation Clinic/Center · Atlanta, GA
NPI number
1770323263
Active
Practice location
2245 Godby Rd Ste 202
Atlanta, GA 30349-5059
Mailing address
5050 Union St Unit 73
Union City, GA 30291-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| 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 1770323263
Optimum Glow Treatment Center LLC's National Provider Identifier is 1770323263, issued on May 30, 2024. 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 Sep 29, 2025.