Organization · Type 2 NPI
Stillwater South LLC
Substance Abuse Rehabilitation Facility · Canton, GA
NPI number
1891449351
Active
Practice location
553 Stover Rd
Canton, GA 30115-4508
Mailing address
4575 Webb Bridge Rd
Alpharetta, GA 30005-4256
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.
About NPI 1891449351
Stillwater South LLC's National Provider Identifier is 1891449351, issued on Feb 3, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Canton, GA. The record was last updated on Feb 3, 2022.