GOOD LANDING RECOVERY ATLANTA – NPI #1083379101
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

GOOD LANDING RECOVERY ATLANTA is a substance abuse rehabilitation facility located in DACULA, GA. NPPES has assigned the NPI number 1083379101 to GOOD LANDING RECOVERY ATLANTA on November 03, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 4 years ago on Aug 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOOD LANDING RECOVERY ATLANTA below.

NPI Profile for
GOOD LANDING RECOVERY ATLANTA

NPI Number
1083379101
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOOD LANDING RECOVERY ATLANTA
Primary location
2535 2ND AVENUE
DACULA, GA 30019
Phone: (770) 450-6120 Fax:
Mailing address
256 MCMILLAN RD
DACULA, GA 30019-2337
Phone: (904) 302-3202 Fax:
Organization Subpart
No
Authorized Official
CHARLIE CAMPBELL
COO
Phone: (904) 302-3202
Updated
Certification Date
Aug 19, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.