| Alliance Recovery Center, Inc. | |
|
209 Swanton Way # B Decatur GA 30030-3271 | |
| (404) 377-7669 | |
| (404) 377-8536 |
| Full Name | Alliance Recovery Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 209 Swanton Way # B, Decatur, Georgia |
| Authorized Official Name and Position | Ned M Etherington (PRESIDENT) |
| Authorized Official Contact | 7708230541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Recovery Center, Inc. 209 Swanton Way # B Decatur GA 30030-3271 Ph: (404) 377-7669 | Alliance Recovery Center, Inc. 209 Swanton Way # B Decatur GA 30030-3271 Ph: (404) 377-7669 |
| NPI Number | 1003953548 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0244664563 |
|---|---|
| Medicare Enrollment ID | O20191219001685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003953548 | NPI | - | NPPES |
| NTP001000 | Other | GA | NARCOTIC TREATMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NTP001000 (Georgia) | Primary |
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