Family Intervention Specialist'S, Inc in Hiram - Addiction (substance Use Disorder)

Family Intervention Specialist'S, Inc - NPI 1588772032

Family Intervention Specialist'S, Inc is a Addiction (substance Use Disorder) in Hiram, Georgia. Family Intervention Specialist'S, Inc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Family Intervention Specialist'S, Inc is 1588772032. The last update date is 2020-08-22.

Family Intervention Specialist'S, Inc's current location address is 126 Enterprise Path, Hiram, Georgia. You can contact this provider via phone number 7702226622 and fax number 7702344202. The mailing address for Family Intervention Specialist'S, Inc is 126 Enterprise Path, Hiram, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Family Intervention Specialist'S, Inc
Address 126 Enterprise Path, Hiram, Georgia
Phone Number 7702226622
Fax Number 7702344202
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Anthony F. David
Credentials PSYD
Telephone Number 4046638877

NPI Number Detail

NPI Number 1588772032
Provider Enumeration Date 2006-08-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 126 Enterprise Path
City Hiram
State Georgia (GA)
Post Code 301412656
Phone Number 7702226622
Fax Number 7702344202

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LPC001837
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Family Intervention Specialist'S, Inc

What is the unique 10-digit identifier code issued to Family Intervention Specialist'S, Inc by the Centers for Medicare & Medicaid Services?

The Family Intervention Specialist'S, Inc has been assigned the NPI (National Provider Identifier) 1588772032 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Family Intervention Specialist'S, Inc?

The Family Intervention Specialist'S, Inc is situated at 126 Enterprise Path, in the city of Hiram, state of GA, with the zip code 301412656.

What is Family Intervention Specialist'S, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Family Intervention Specialist'S, Inc is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1588772032 to Family Intervention Specialist'S, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1588772032 to Family Intervention Specialist'S, Inc on 2006-08-25.

When was the information pertaining to Family Intervention Specialist'S, Inc most recently updated or revised?

The details related to Family Intervention Specialist'S, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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