| Substance Abuse Alcohol & Behavior Management Institute | |
|
20 Ayers Ave Ne Marietta GA 30060-2112 | |
| (770) 865-9118 | |
| (888) 341-3210 |
| Full Name | Substance Abuse Alcohol & Behavior Management Institute |
|---|---|
| Speciality | Counselor - Professional |
| Location | 20 Ayers Ave Ne, Marietta, Georgia |
| Authorized Official Name and Position | Laurel-titi A Ipadeola (CEO) |
| Authorized Official Contact | 7708659118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Substance Abuse Alcohol & Behavior Management Institute 20 Ayers Ave Ne Marietta GA 30060-2112 Ph: (770) 865-9118 | Substance Abuse Alcohol & Behavior Management Institute 20 Ayers Ave Ne Marietta GA 30060-2112 Ph: (770) 865-9118 |
| NPI Number | 1992192678 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992192678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCOO4963 (Georgia) | Primary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
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