Access Health Treatment Center LLC
Organization Active NPI Methadone Clinic · Fayetteville, GA
NPI 1699220475 · NPPES record last updated Aug 22, 2016
Key facts
- NPI
- 1699220475
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- ACCESS HEALTH TREATMENT CENTER LLC
- Practice address
- 105 Bradford SQ
Suite a
Fayetteville, GA 30215-1974 - Phone
- (770) 742-3846
- Fax
- (770) 742-3855
- NPI assigned
- Aug 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. India C Johnson
- Title
- Ceo/Owner
- Phone
- (770) 742-3846
Practitioners 1
National Provider Directory
Locations
105 Bradford Sq
Ste A
Fayetteville, GA 30215
Phone (770) 742-3846
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | GA | Yes |
Addresses
Primary practice location
105 Bradford SQ
Suite a
Fayetteville, GA 30215-1974
Mailing address
PO Box 374102
Decatur, GA 30037-4102
Phone (770) 742-3846
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All providers in Fayetteville, GA · Methadone Clinic in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.