Inner Voyage Recovery Center

LBN: Agape Recovery House Llc
Inner Voyage Recovery Center is an health care organization with primary practice located at 2230 Towne Lake Pkwy Ste 200 , Woodstock GA 30189-5540. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Agape Recovery House Llc can be contacted via phone (404) 713-4280, or through Baucom, Jeff Bennett via phone (404) 713-4280.

Contact Information

Primary practice address
2230 Towne Lake Pkwy Ste 200 Woodstock GA 30189-5540
Phone: (404) 713-4280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baucom, Jeff Bennett CACI
Phone: (404) 713-4280

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1053982827
LBN Legal business name Agape Recovery House Llc
DBA Doing business as Inner Voyage Recovery Center
Authorized official Baucom, Jeff Bennett CACI
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2021
Last updated Dec 29th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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