Provider Demographics
NPI:1144935974
Name:GROUPS RECOVER TOGETHER - GEORGIA LLC
Entity type:Organization
Organization Name:GROUPS RECOVER TOGETHER - GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, STAFF SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CLARE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-221-0821
Mailing Address - Street 1:111 S BEDFORD ST STE 205
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5145
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1010 N TENNESSEE ST STE 212
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8528
Practice Address - Country:US
Practice Address - Phone:800-683-8313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health