Gabriels Recreational Center, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1000033472 Issued in GA

Legal business name

GABRIELS RECREATIONAL CENTER, LLC

Practice address

8486 Highway 85
Jonesboro, GA 30238-4308

Phone

(770) 369-4832

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Richelle Berrian

Title

Ceo

Phone

(770) 369-4832

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1285935171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8486 HIGHWAY 85",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384308",
            "telephone_number": "770-369-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8486 HIGHWAY 85",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384308",
            "telephone_number": "770-369-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELS RECREATIONAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "BERRIAN",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-369-4832",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": "1000033472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Spectrum Counseling Services LLC
• Latesha Funches
• Future Success Service
• Ga Champion Project Inc
• Renata Gabriel
• Myrna Gacusan
• Gardens of Grace Living Facility
• Gayla Darnell Gates, MD
• J. Claude Gauthier, M.D.
• Christopher Lawrence Gaydos, MD

• Developmentally Disabled Services Day Training Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.