Provider Demographics
NPI:1053769273
Name:RECOVERY CONSULTANTS OF ATLANTA, INC.
Entity type:Organization
Organization Name:RECOVERY CONSULTANTS OF ATLANTA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-289-0313
Mailing Address - Street 1:3423 COVINGTON DR
Mailing Address - Street 2:STE B
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1846
Mailing Address - Country:US
Mailing Address - Phone:678-592-4224
Mailing Address - Fax:404-289-0314
Practice Address - Street 1:4229 SNAPFINGER WOODS DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-3440
Practice Address - Country:US
Practice Address - Phone:404-289-0313
Practice Address - Fax:404-289-0314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)