Organization Active NPI

Centered Recovery Programs, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marietta, GA
National Provider Identifier
1902374812
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CENTERED RECOVERY PROGRAMS, LLC
Practice address
1000 Piedmont Rd
Marietta, GA 30066-4032
Phone
(678) 324-0593
Fax
(678) 324-0952
NPI assigned
Nov 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Lucas Catton
Title
Managing Director
Phone
(770) 410-4894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1000 Piedmont Rd
Marietta, GA 30066-4032

Mailing address

1000 Piedmont Rd
Marietta, GA 30066-4032
Phone (678) 324-0593

Other identifiers 1

IdentifierTypeStateIssuer
033-528-DOtherGADATEP LICENSE THROUGH DCH

National Provider Directory

National Provider Directory
Tax ID family
Centered Recovery Programs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1000 Piedmont Rd NE
Marietta, GA 30066
Phone (678) 324-0593

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1902374812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PIEDMONT RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664032",
            "telephone_number": "678-324-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PIEDMONT RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664032",
            "telephone_number": "678-324-0593",
            "fax_number": "678-324-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED RECOVERY PROGRAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "CATTON",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "770-410-4894"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DATEP LICENSE THROUGH DCH",
            "identifier": "033-528-D",
            "state": "GA"
        }
    ],
    "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 Nov 8, 2018; 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.