Breakthru House, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

044519D Issued in GA

Legal business name

BREAKTHRU HOUSE, INC.

Practice address

1866 Eastfield St
Decatur, GA 30032-4143

Phone

(404) 284-4658

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Brenita Danley Jackson, MSW

Title

Executive Director

Phone

(404) 284-4658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1457713323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 EASTFIELD ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324143",
            "telephone_number": "404-284-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 EASTFIELD ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324143",
            "telephone_number": "404-284-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHRU HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRENITA",
        "authorized_official_middle_name": "DANLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-284-4658",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "044519D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cydney Jamilla Braumuller
• Jeffrey Bravo
• Brea Decatur LLC
• Amanda Breakey, PHARM.D.
• Breakthrough Counseling
• Monique Sims Breland, NP
• James Douglas Bremner, MD
• Robert D Brewer III
• Briarlake Community Home
• Bridges for Families Incorporated

• Substance Abuse Rehabilitation Facility in Decatur, GA
• Providers in Decatur, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.