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General NPI Number Information
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NPI Number | 1326258880
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Entity Type | Organization
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Legal Business Name | AFTERCARE RESIDENTIAL REHABILITATIVE SERVICES, INC.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 01/04/2018
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Provider Practice Location Address
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Address Line | 1105 SPALDING DR
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City | ATLANTA
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State | GA
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Zip | 30350-5014
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Country | US
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Telephone | 404-483-5449
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Fax | 678-587-0703
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Provider Business Mailing Address
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Address Line | 1105 SPALDING DR
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City | ATLANTA
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State | GA
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Zip | 30350-5014
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Country | US
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Telephone | 404-483-5449
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Fax | 770-808-1415
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DIANE RICHARDSON
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Credential | BSW
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Telephone | 404-483-5449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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