Healthcare Provider Details

I. General information

NPI: 1518092980
Provider Name (Legal Business Name): QUEST 35, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 ROCK ST NW UNIT 5
ATLANTA GA
30314-3371
US

IV. Provider business mailing address

881 ROCK ST NW UNIT 5
ATLANTA GA
30314-3371
US

V. Phone/Fax

Practice location:
  • Phone: 404-521-0929
  • Fax: 404-521-0987
Mailing address:
  • Phone: 404-521-0929
  • Fax: 404-521-0987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number89893LEX
License Number StateGA

VIII. Authorized Official

Name: MR. LEONARD LENFORD ADAMS JR.
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 404-521-0929