Organization · Type 2 NPI
Fresh Start Community Developers, LLC
Addiction (Substance Use Disorder) Counselor · Decatur, GA
NPI number
1114273315
Active
Practice location
46 Sycamore Sta
Decatur, GA 30030-2757
Fax (404) 370-1202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 236 (GA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1114273315
Fresh Start Community Developers, LLC's National Provider Identifier is 1114273315, issued on Jul 25, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Decatur, GA. The record was last updated on Jul 25, 2012.