The Recovery Coach, LLC
Peer Specialist in Atlanta, GA. Organization (NPI-2).
NPI number1982203311
StatusActive
Last updated in NPPESNov 11, 2020
Details
- NPI
- 1982203311
- Entity type
- Organization (NPI-2)
- Legal business name
- The Recovery Coach, LLC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2020
- Certification date
- Nov 11, 2020
- Last updated
- Nov 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
6100 Lake Forrest Dr Ste 450Atlanta, GA 30328-3837
Phone 678-851-3314
Mailing address
6100 Lake Forrest Dr Ste 450Atlanta, GA 30328-3837
Phone 678-851-3314
Authorized official
Alison T Broderick
Founder/Owner
6788513314
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