West Georgia Wellness Center Llc

LBN: West Georgia Wellness Center Llc
West Georgia Wellness Center Llc is an health care organization with primary practice located at 126 Enterprise Path Ste 104B , Hiram GA 30141-2655. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. West Georgia Wellness Center Llc can be contacted via phone (609) 480-9853, or through Widota, Andrew via phone (609) 480-9853.

Contact Information

Primary practice address
126 Enterprise Path Ste 104B Hiram GA 30141-2655
Phone: (609) 480-9853
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Widota, Andrew
Phone: (609) 480-9853

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1740987379
LBN Legal business name West Georgia Wellness Center Llc
DBA Doing business as
Authorized official Widota, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2023
Last updated Feb 14th, 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.

Request for update

Popular Providers