Assertive Community Solutions

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

80-0831636 Issued in FL

Legal business name

ASSERTIVE COMMUNITY SOLUTIONS

Practice address

1983 Temple Park Dr
Loganville, GA 30052-5833

Phone

(678) 973-7358

NPI assigned

Sep 20, 2012

Last updated

Sep 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Dwyer

Title

Executive Director

Phone

(678) 973-7358

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1962753699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 TEMPLE PARK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 TEMPLE PARK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525833",
            "telephone_number": "678-973-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSERTIVE COMMUNITY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-973-7358"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "80-0831636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Loganville, GA
• Providers in Loganville, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.