| Organization Name: | NEPTUNE CLINICAL GROUP, INC. |
| NPI Number: | 1669572335 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEIRDRE K WILHOITE (CLINIC DIRECTOR) |
| Mailing Address: | 822 Chickamauga Ave Rossville |
| State: | GA US |
| Postal Code: | 307411407 |
| Phone Number: | 7068616458 |
| Fax Number: | 7068666277 |
| NPI Enumeration Date: | 09/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |