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CROSSOVER OUTPATIENT SERVICES LLC NPI 1891217600


NPI Information

NPI: 1891217600
Provider Name: CROSSOVER OUTPATIENT SERVICES LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
241 LEMON ST NE STE C
MARIETTA, GA
ZIP 30060
Phone: (404) 400-1989
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CROSSOVER OUTPATIENT SERVICES LLC is an addiction (substance use disorder) counselor in Marietta, GA. CROSSOVER OUTPATIENT SERVICES LLC NPI is 1891217600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

241 LEMON ST NE STE C
MARIETTA, GA
ZIP 30060-644
Phone: (404) 400-1989

The provider's authorized official is John Craig Bremner .
The authorized official title is Owner and has the following contact phone number (770) 639-7100.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 4/19/2018.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)GEORGIAYes

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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