NPI age
4 years
Enumerated 2021-08-10
● Active Type 2 · Organization
Southeast Detox Llc
Southeast Detox Llc is 1 of 148 substance abuse rehabilitation facility organizations in Georgia.
Primary specialty
Substance Abuse Rehabilitation Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Welch
Partner
Last NPPES update
2021-08-10
Source: monthly bulk 2026-05
How this organization compares
Across 148 active substance abuse rehabilitation facility providers in Georgia.
NPI age
4 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-08Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
4300 Martha Berry Hwy Ne
Rome, GA 301658642
Mailing address
2328 10th Ave N Ste 202
Lake Worth, FL 334616612
Authorized official
Ryan Welch
Partner
📞 7702177832
Specialties
-
Substance Abuse Rehabilitation Facility PrimaryA 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.
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.