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TANGU INC NPI 1114042132


NPI Information

NPI: 1114042132
Provider Name: TANGU, INC

Other Name: TANGU PHASE II, INC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1820 WATER PL SE STE 250
ATLANTA, GA
ZIP 30339
Phone: (404) 523-4599
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TANGU, INC is a substance abuse rehabilitation facility in Atlanta, GA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. TANGU, INC NPI is 1114042132. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Tangu Phase Ii, Inc.

The provider's business location address is:

1820 WATER PL SE STE 250
ATLANTA, GA
ZIP 30339-287
Phone: (404) 523-4599
Fax: (404) 586-0645

The provider's authorized official is Walter D Brooks .
The authorized official title is President, Ceo and has the following contact phone number (404) 697-7750.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/21/2022.


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
1101Y00000XCounselorGEORGIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)GEORGIANo
3101YM0800XCounselorMental HealthGEORGIANo
4101YP2500XCounselorProfessionalGEORGIANo
5104100000XSocial WorkerGEORGIANo
61041C0700XSocial WorkerClinicalGEORGIANo
7106H00000XMarriage & Family TherapistGEORGIANo
8251B00000XCase ManagementGEORGIANo
9251S00000XCommunity/Behavioral HealthGEORGIANo
10324500000XSubstance Abuse Rehabilitation FacilityGEORGIANo
11324500000XSubstance Abuse Rehabilitation FacilityYes

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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