NPIMap

Organization Active NPI

NPTC of GBCH&FM, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Marietta, GA
National Provider Identifier
1851455919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
00041071 Issued in GA
Legal business name
NPTC OF GBCH&FM, INC.
Practice address
729 Lawrence St NE
Marietta, GA 30060-2143
Phone
(770) 514-8255
Fax
(770) 514-1747
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Victoria Jones
Title
Program Coordinator
Phone
(770) 514-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 00041071 GA Primary

Addresses

Primary practice location

729 Lawrence St NE
Marietta, GA 30060-2143

Mailing address

729 Lawrence St NE
Marietta, GA 30060-2143
Phone (770) 514-8255

National Provider Directory

National Provider Directory
Tax ID family
Georgia Baptist Children's Homes and Family Ministries Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

729 Lawrence St NE
Marietta, GA 30060
Phone (770) 514-8255

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851455919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 LAWRENCE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602143",
            "telephone_number": "770-514-8255",
            "fax_number": "770-514-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 LAWRENCE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602143",
            "telephone_number": "770-514-8255",
            "fax_number": "770-514-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NPTC OF GBCH&FM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "770-514-8255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "GA",
            "license": "00041071",
            "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 22, 2020; 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.