NPIMap

Organization Active NPI

Adolescent Advocacy Center

  • Mental Illness Community Based Residential Treatment Facility
  • Decatur, GA
National Provider Identifier
1922353549
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ADOLESCENT ADVOCACY CENTER
Practice address
312 Rimington LN
Decatur, GA 30030-2134
Phone
(678) 404-6733
NPI assigned
Jul 19, 2012
Last updated
Jul 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Naa Dzama Oddoye
Title
Executive Director
Phone
(678) 525-0966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

312 Rimington LN
Decatur, GA 30030-2134

Mailing address

312 Rimington LN
Decatur, GA 30030-2134
Phone (678) 404-6733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1922353549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 RIMINGTON LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302134",
            "telephone_number": "678-404-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 RIMINGTON LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302134",
            "telephone_number": "678-404-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT ADVOCACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "ODDOYE",
        "authorized_official_first_name": "NAA DZAMA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-525-0966"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.