| Tangu Phase Ii, Inc | |
|
1820 Water Pl Se Ste 250 Atlanta GA 30339-2287 | |
| (404) 523-4599 | |
| (404) 586-0645 |
| Full Name | Tangu Phase Ii, Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1820 Water Pl Se Ste 250, Atlanta, Georgia |
| Authorized Official Name and Position | Walter D Brooks (PRESIDENT, CEO) |
| Authorized Official Contact | 4046977750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tangu Phase Ii, Inc 227 Sandy Springs Pl # D-298 Sandy Springs GA 30328-5918 Ph: (404) 697-7750 | Tangu Phase Ii, Inc 1820 Water Pl Se Ste 250 Atlanta GA 30339-2287 Ph: (404) 523-4599 |
| NPI Number | 1114042132 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114042132 | NPI | - | NPPES |
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