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Organization

ACCESS HEALTH TREATMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. INDIA C JOHNSON (CEO/OWNER)
(770) 742-3846
Entity
Organization

Contact information

Practice address
105 BRADFORD SQ, SUITE A, FAYETTEVILLE, GA 30215-1974
(770) 742-3846
(770) 742-3855
Mailing address
PO BOX 374102, DECATUR, GA 30037-4102
(770) 742-3846
(770) 742-3855

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
GA

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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