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NPI Code Detail

MEDICARE: GEORGIA HARM REDUCTION COALITION INC

MEDICARE: GEORGIA HARM REDUCTION COALITION INC
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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency
3261QP0905XState or Local Public Health Clinic/Center
4261QC1500XCommunity Health Clinic/Center

General Provider Information

NPI Number : 1316404767
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGIA HARM REDUCTION COALITION INC
Provider Business Mailing Address
First Line : 1231 JOSEPH E BOONE BLVD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30314-2395
Country : US
Telephone Number : 404-817-9994
Fax Number : 404-817-9939
Provider Business Practice Location Address
First Line : 1231 JOSEPH E BOONE BLVD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30314-2395
Country : US
Telephone Number : 404-817-9994
Fax Number : 404-817-9939
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. MOJGAN ZARE
Credential : M.D.
Telephone Number : 404-817-9994
Provider Enumeration Date : 02/21/2019
Last Update Date : 02/16/2024

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Directions to “GEORGIA HARM REDUCTION COALITION INC ” Practice Location

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