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PROJECT ADAM COMMUNITY ASSISTANCE CENTER INCORPORATED NPI 1750717682


NPI Information

NPI: 1750717682
Provider Name: PROJECT ADAM COMMUNITY ASSISTANCE CENTER, INCORPORATED

Doing Business As: PROJECT ADAM

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 11D2085497

Address:
112 LANTHIER ST
WINDER, GA
ZIP 30680
Phone: (770) 867-8003
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PROJECT ADAM COMMUNITY ASSISTANCE CENTER, INCORPORATED is a substance abuse rehabilitation facility in Winder, GA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PROJECT ADAM COMMUNITY ASSISTANCE CENTER, INCORPORATED NPI is 1750717682. The provider is registered as an organization entity type.
The provider Is Doing Business As Project Adam.

The provider's business location address is:

112 LANTHIER ST
WINDER, GA
ZIP 30680-100
Phone: (770) 867-8003

The provider's authorized official is Lori Gina Mcdonald .
The authorized official title is Executive Director and has the following contact phone number (770) 867-8003.

The CLIA number assigned to this NPI record is 11D2085497 - other - uds for a/d treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2013 and was last updated on 8/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2324500000XSubstance Abuse Rehabilitation FacilityDRUG001016GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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