Active NPI
Alliance Recovery Residence LLC
- Substance Abuse Rehabilitation Facility
- Marietta, GA
National Provider Identifier
1225584766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ALLIANCE RECOVERY RESIDENCE LLC
- Practice address
- 2621 Morgan Rd NE
Marietta, GA 30066-5623 - Phone
- (470) 328-0323
- NPI assigned
- Aug 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Domnique Guerrero
- Title
- President
- Phone
- (470) 328-0323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2621 Morgan Rd NE
Marietta, GA 30066-5623
Mailing address
2621 Morgan Rd NE
Marietta, GA 30066-5623
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1225584766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 MORGAN RD NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 MORGAN RD NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665623",
"telephone_number": "470-328-0323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE RECOVERY RESIDENCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "GUERRERO",
"authorized_official_first_name": "DOMNIQUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "470-328-0323"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.