Faith Recovery Treatment Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FAITH RECOVERY TREATMENT CENTER

Practice address

1201 W Peachtree St NW Ste 2300
Atlanta, GA 30309-3453

Phone

(571) 330-1430

NPI assigned

Dec 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shanekia Dysha Selby

Title

Founder

Phone

(571) 330-1430

Specialties & licenses 1

Addresses

Other names 1

• FRTC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1144037540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST NW STE 2300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093453",
            "telephone_number": "571-330-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST NW STE 2300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093453",
            "telephone_number": "571-330-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH RECOVERY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "SHANEKIA",
        "authorized_official_middle_name": "DYSHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "571-330-1430"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James E Faison
• Keia Verene Faison, MD
• McKaila Elyse Faison
• Faith Hospice of Atlanta LLC
• Faith Medical Agency LLC
• Faith Staffing Agency Inc
• Faith Staffing Agency Inc
• Anaqa Faizer
• Nancy N Fajman, MD
• William Alois Fajman, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.