Provider Demographics
NPI:1447687454
Name:A NEW DAY ADULT DAYCAREANDOUTPATIENTTREATMENT CENTER LLC
Entity type:Organization
Organization Name:A NEW DAY ADULT DAYCAREANDOUTPATIENTTREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-454-9721
Mailing Address - Street 1:4286 MEMORIAL DR
Mailing Address - Street 2:STE B
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1221
Mailing Address - Country:US
Mailing Address - Phone:404-454-9721
Mailing Address - Fax:
Practice Address - Street 1:4286 MEMORIAL DR
Practice Address - Street 2:STE B
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1221
Practice Address - Country:US
Practice Address - Phone:404-454-9721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0000000101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000000OtherAPPLYING