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1588062418 NPI number — ATHENS ADDICTION RECOVERY CENTER, L.L.C.

NPI Number: 1588062418
Health Care Provider/Practitioner: ATHENS ADDICTION RECOVERY CENTER, L.L.C.

Information about “1588062418” NPI (ATHENS ADDICTION RECOVERY CENTER, L.L.C.) exists in 1588062418 in HTML format HTML  |  1588062418 in plain Text format TXT  |  1588062418 in PDF (Portable Document Format) PDF  |  1588062418 in an XML format XML  formats.

NPI Number : 1588062418 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588062418",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ATHENS ADDICTION RECOVERY CENTER, L.L.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 81485",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATHENS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30608-1485",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-559-0059",
    "MailingAddressFaxNumber": "706-353-1510",
    "FirstLinePracticeLocationAddress": "8801 MACON HWY",
    "SecondLinePracticeLocationAddress": "SUITE 2",
    "PracticeLocationAddressCityName": "ATHENS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30606-5201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-559-0059",
    "PracticeLocationAddressFaxNumber": "706-353-1510",
    "EnumerationDate": "12/09/2014",
    "LastUpdateDate": "12/09/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VEAL",
    "AuthorizedOfficialFirstName": "JERRY",
    "AuthorizedOfficialMiddleName": "N.",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": "R.N.",
    "AuthorizedOfficialTelephoneNumber": "706-559-0059",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0405X",
        "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
        "LicenseNumber": "APPLIED FOR",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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