Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Detox LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1710652052

Southeast Detox LLC is a Substance Abuse Rehabilitation Facility in Rome, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4300 Martha Berry Hwy NE
Rome, GA 30165-8642
Phone: (770) 217-7832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1710652052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Welch — Partner · (770) 217-7832
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address2328 10th Ave N Ste 202, Lake Worth, FL 33461-6612

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