| Poinciana Recovery Institute | |
|
1301 Shiloh Rd Nw Suite 1531b Kennesaw GA 30144-7147 | |
| (404) 966-3557 | |
| Not Available |
| Full Name | Poinciana Recovery Institute |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1301 Shiloh Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Kendrick Allen (OFFICER) |
| Authorized Official Contact | 4049663557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poinciana Recovery Institute 1301 Shiloh Rd Nw Suite 1531b Kennesaw GA 30144-7147 Ph: (404) 966-3557 | Poinciana Recovery Institute 1301 Shiloh Rd Nw Suite 1531b Kennesaw GA 30144-7147 Ph: (404) 966-3557 |
| NPI Number | 1144605650 |
|---|---|
| Provider Enumeration Date | 07/26/2015 |
| Last Update Date | 07/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144605650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Georgia) | Primary |
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