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NPI Code Detail

MEDICARE: COMMUNITY ALLIES LLC

MEDICARE: COMMUNITY ALLIES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251S00000XCommunity/Behavioral Health Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
5320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6324500000XSubstance Abuse Rehabilitation Facility
7251B00000XCase Management Agency

General Provider Information

NPI Number : 1235968660
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY ALLIES LLC
Provider Business Mailing Address
First Line : 1226 POPLAR POINTE SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-2212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 440 LOUISIANA ST # 952
Second Line :
City : HOUSTON
State : TX
Zip : 77002-1639
Country : US
Telephone Number : 603-289-7047
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : BRYANT BETTEZ
Credential :
Telephone Number : 603-289-7047
Provider Enumeration Date : 08/01/2024
Last Update Date : 06/07/2025

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Directions to “COMMUNITY ALLIES LLC ” Practice Location

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