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

Southern Sky Outpatient Detox, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1396515169

Southern Sky Outpatient Detox, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Johns Creek, Georgia. Registered with an NPI since 2024.

In the registry since
2024
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

11030 Jones Bridge Rd Ste 304
Johns Creek, GA 30022-4560
Phone: (770) 659-5944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1396515169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Denker — Managing Member · (770) 659-5944
Other names Georgia Sky Outpatient Detox
NPI enumeratedJanuary 3, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address227 Sandy Springs Pl # D-298, Sandy Springs, GA 30328-5918

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