Organization · Type 2 NPI

Augusta Addiction Associates

Substance Use Disorder Rehabilitation Clinic/Center · Savannah, GA

NPI number 1972880417 Active

Practice location

600 Commercial Ct, Suite A
Savannah, GA 31406-3674

Call (912) 352-4357 Map

Fax (912) 352-4395

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425

Specialties and licenses

Taxonomy	Code	License
Methadone Clinic	261QM2800X	GA10135-M (GA)
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

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NPI record

NPI: 1972880417
Entity type: Organization (Type 2)
Issued: Nov 11, 2011
Last updated: Jul 29, 2024
Status: Active
Subpart: Yes of Medmark Atreatment Centers of Georgia

Other names

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Medmark Treatment Centers Savannah · doing business as
Medmark Treatment Centers Savannah · doing business as

Authorized official

Bruce Jarvie
VP, Treasurer
(214) 379-3300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972880417

Augusta Addiction Associates's National Provider Identifier is 1972880417, issued on Nov 11, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Savannah, GA. The record was last updated on Jul 29, 2024.