| American Alternative Court Services, Llc | |
|
1295 Terrell Mill Rd Se Ste 104 Marietta GA 30067-9438 | |
| (404) 793-6838 | |
| Not Available |
| Full Name | American Alternative Court Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1295 Terrell Mill Rd Se Ste 104, Marietta, Georgia |
| Authorized Official Name and Position | Jacques Khorozian (OWNER) |
| Authorized Official Contact | 4047936838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Alternative Court Services, Llc 1295 Terrell Mill Rd Se Ste 104 Marietta GA 30067-9438 Ph: (404) 793-6838 | American Alternative Court Services, Llc 1295 Terrell Mill Rd Se Ste 104 Marietta GA 30067-9438 Ph: (404) 793-6838 |
| NPI Number | 1750047684 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Medicare PECOS PAC ID | 4082054234 |
|---|---|
| Medicare Enrollment ID | O20240503003527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750047684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jacques Khorozian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801429576 PECOS PAC ID: 9436599685 Enrollment ID: I20240506000282 |
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