Organization
NEW HORIZON RECOVERY CENTER
Active
Other names
Teen Challenge Ga. Intl
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY A PICILLO (BILLING COMPANY)
(954) 993-7165
Entity
Organization
Contact information
Practice address
1753 STEPHENSON RD, LITHONIA, GA 30058-5940
(770) 853-5673
(678) 826-8640
Mailing address
PO BOX 17969, ATLANTA, GA 30316-0969
(770) 853-5673
(678) 826-8640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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