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Contact Information

PERSONAL RECOVERY NETWORK LLC
250 CORPORATE CENTER CT
STOCKBRIDGE, GA30281
 Phone: 770-389-8100
 Fax: 770-389-3030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Ambulatory Family Planning Facility

261QA0005X
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for PERSONAL RECOVERY NETWORK LLC

NPI Number 1881990869
LBN Legal business name PERSONAL RECOVERY NETWORK LLC
Authorized official RYAN PARDO - (LEGAL CHIEF OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2011
Last updated 01/18/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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