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ALLIANCE RECOVERY CENTER INC. NPI 1003953548


NPI Information

NPI: 1003953548
Provider Name: ALLIANCE RECOVERY CENTER, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 11D1044446

Address:
209 SWANTON WAY # B
DECATUR, GA
ZIP 30030
Phone: (404) 377-7669
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ALLIANCE RECOVERY CENTER, INC. is a community behavioral health in Decatur, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ALLIANCE RECOVERY CENTER, INC. NPI is 1003953548. The provider is registered as an organization entity type.

The provider's business location address is:

209 SWANTON WAY # B
DECATUR, GA
ZIP 30030-271
Phone: (404) 377-7669
Fax: (404) 377-8536

The provider's authorized official is Ned M Etherington .
The authorized official title is President and has the following contact phone number (770) 823-0541.

The CLIA number assigned to this NPI record is 11D1044446 - other - opioid treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNTP001000GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NTP001000OTHERGEORGIANARCOTIC TREATMENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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