NPI age
2 years
Enumerated 2023-06-27
● Active Type 2 · Organization
Outpatient Detox Center Of Georgia Llc
Outpatient Detox Center Of Georgia Llc is 1 of 26 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hamilton
President
Last NPPES update
2023-06-27
Source: monthly bulk 2026-05
How this organization compares
Across 26 active clinic/center providers in Georgia.
NPI age
2 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-06Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
2340 Wood Creek Ct
Dacula, GA 300193170
Mailing address
2340 Wood Creek Ct
Dacula, GA 300193170
Authorized official
Zandria Hamilton
President
📞 4706426210
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.