Organization
NEWPORT INTEGRATED BEHAVIORAL HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MOSERI MD (CEO)
(404) 289-8223
Entity
Organization
Contact information
Practice address
1810 MOSERI RD, DECATUR, GA 30032-5116
(404) 289-8223
Mailing address
1810 MOSERI RD, DECATUR, GA 30032-5116
(404) 289-8223
(404) 286-7009
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
171335
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
932182703A
—
GA
Enumeration date
12/10/2006
Last updated
04/09/2022
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