NEWPORT INTEGRATED BEHAVIORAL HEALTHCARE INC NPI 1902966203

NPI Information

NEWPORT INTEGRATED BEHAVIORAL HEALTHCARE, INC is a substance abuse rehabilitation facility in Decatur, 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. NEWPORT INTEGRATED BEHAVIORAL HEALTHCARE, INC NPI is 1902966203. The provider is registered as an organization entity type.

The provider's business location address is:

1810 MOSERI RD
DECATUR, GA
ZIP 30032-116
Phone: (404) 289-8223

The provider's authorized official is John Moseri .
The authorized official title is Ceo and has the following contact phone number (404) 289-8223.

The CLIA number assigned to this NPI record is 11D1063453 - other - comm res op/substance with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/10/2006 and was last updated on 4/9/2022.

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:

Other Identifiers

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

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