| Penfield Addiction Ministries, Inc. | |
|
1061 Mercer Cir Union Point GA 30669-2205 | |
| (706) 453-7929 | |
| Not Available |
| Full Name | Penfield Addiction Ministries, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1061 Mercer Cir, Union Point, Georgia |
| Authorized Official Name and Position | Andrew Michael Metzger (CQI-RM SUPERVISOR) |
| Authorized Official Contact | 7068174589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penfield Addiction Ministries, Inc. 1061 Mercer Cir Union Point GA 30669-2205 Ph: (706) 453-7929 | Penfield Addiction Ministries, Inc. 1061 Mercer Cir Union Point GA 30669-2205 Ph: (706) 453-7929 |
| NPI Number | 1609411321 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609411321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |