Healthcare Provider Details

I. General information

NPI: 1336910124
Provider Name (Legal Business Name): HEALTH & STRENGTH TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 PIRKLE FERRY RD STE A400
CUMMING GA
30040-2556
US

IV. Provider business mailing address

PO BOX 390551
SNELLVILLE GA
30039-0010
US

V. Phone/Fax

Practice location:
  • Phone: 678-448-2853
  • Fax: 770-676-7087
Mailing address:
  • Phone: 470-909-7318
  • Fax: 770-676-7087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE RICHARDSON
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 470-909-7318