Organization
FIRST STEP SOBER LIVING
Active
Other names
FSSL Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIA RIVERA (ADMINISTRATIVE ASSISTANT)
(470) 370-9493
Entity
Organization
Contact information
Practice address
1742 MOUNT VERNON RD STE 200-A, ATLANTA, GA 30338-4251
(470) 307-9493
Mailing address
1742 MOUNT VERNON RD STE 150-B, ATLANTA, GA 30338-4251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
12/19/2018
Last updated
01/23/2020
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