Organization
CLINIC FOR EDUCATION, TREATMENT AND PREVENTION OF ADDICTION, INC.
Active
Organization
CLINIC FOR EDUCATION, TREATMENT AND PREVENTION OF ADDICTION, INC.
Active
Other names
CETPA, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERLUIGI MANCINI PH.D., NCAC II (CHIEF EXECUTIVE OFFICER)
(770) 662-0249
Entity
Organization
Contact information
Practice address
6020 DAWSON BLVD, SUITE I, NORCROSS, GA 30093-1229
(770) 662-0249
(770) 449-5023
Mailing address
6020 DAWSON BLVD, SUITE I, NORCROSS, GA 30093-1229
(770) 662-0249
(770) 449-5023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
060-442-D
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111020374A
—
GA
Enumeration date
02/08/2007
Last updated
06/24/2015
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