RENAISSANCE RECOVERY GROUP INC
Ambulatory Health at Bombay Ln, Roswell, GA

License number
Georgia NTP001016
Category
Ambulatory Health
Type
Methadone
Owner
Name: MRS. CASSANDRA WANZO MD
Title: MEDICAL DIRECTOR
Phone: (770) 754-4674
Address
Address
601 Bombay Ln, Roswell, GA 30076
National Provider ID: 1881906386
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THE RENAISSANCE RECOVERY GROUP, INC

601 Bombay Ln, Roswell, GA 30076

Registration:
Sep 19, 1997
State ID:
K734107
Business type:
Domestic Profit Corporation
CEOs:
Melissa Ragsdale (Secretary), 5535 Shephards Pond, Alpharetta, GA 30004 (Physical),Richard Ragsdale (CFO), 12225 Dancliff Trce, Alpharetta, GA 30004 (Physical),W Richard Ragsdale (CEO), 12225 Dancliff Trce, Alpharetta, GA 30004 (Physical)
Agent:
Melissa Goodwin,5535 Shepherds Pond, Roswell, GA (Physical)

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