Liv Recovery Center
LBN: Black Swan Llc
Liv Recovery Center is an health care organization with primary practice located at 11030 Jones Bridge Rd Ste 300 , Alpharetta GA 30022-4560. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Black Swan Llc can be contacted via phone (470) 664-4357, or through Wilson, Todd via phone (404) 513-5640.
Contact Information
Primary practice address
11030 Jones Bridge Rd Ste 300
Alpharetta GA 30022-4560
Phone: (470) 664-4357
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
NPI number | 1679275846 |
---|---|
LBN Legal business name | Black Swan Llc |
DBA Doing business as | Liv Recovery Center |
Authorized official | Wilson, Todd |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 20th, 2023 |
Last updated | Nov 6th, 2023 - about last year |
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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