Restoring Hope Recovery Group, Llc | |
1720 Peachtree St Nw Ste 1050 Atlanta GA 30309-2449 | |
(678) 902-2730 | |
Not Available |
Full Name | Restoring Hope Recovery Group, Llc |
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Speciality | Clinic/Center |
Location | 1720 Peachtree St Nw Ste 1050, Atlanta, Georgia |
Authorized Official Name and Position | Debbie Yong Stevens (PRESIDENT/CEO) |
Authorized Official Contact | 6789022730 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Restoring Hope Recovery Group, Llc 714 Katherine Johnson Ln Atlanta GA 30318-6715 Ph: () - | Restoring Hope Recovery Group, Llc 1720 Peachtree St Nw Ste 1050 Atlanta GA 30309-2449 Ph: (678) 902-2730 |
NPI Number | 1326789363 |
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Provider Enumeration Date | 04/05/2022 |
Last Update Date | 04/05/2022 |
Certification Date | 04/04/2022 |
Medicare PECOS PAC ID | 7719357730 |
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Medicare Enrollment ID | O20230106001850 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326789363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Debbie Yong Stevens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275748162 PECOS PAC ID: 7618993619 Enrollment ID: I20151014000260 |
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