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NPI Code Detail

MEDICARE: AMERICAN REHABILITATION COUNSELING CENTER LLC

MEDICARE: AMERICAN REHABILITATION COUNSELING CENTER 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
1261Q00000XClinic/Center
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3251S00000XCommunity/Behavioral Health Agency
4251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1952753238
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN REHABILITATION COUNSELING CENTER LLC
Provider Business Mailing Address
First Line : 2140 CLEMENTINE DR
Second Line :
City : MARIETTA
State : GA
Zip : 30066-4587
Country : US
Telephone Number : 561-699-2569
Fax Number :
Provider Business Practice Location Address
First Line : 8305-15 RIDGE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-1722
Country : US
Telephone Number : 561-699-2569
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARCIA HART
Credential :
Telephone Number : 561-699-2569
Provider Enumeration Date : 07/11/2016
Last Update Date : 09/09/2016

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Directions to “AMERICAN REHABILITATION COUNSELING CENTER LLC ” Practice Location

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