Organization
FIRST STEP SOBER LIVING
Active
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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