Provider Demographics
NPI:1225504368
Name:NEW FOCUS ADDICTION AND BEHAVIORAL HEALTH INC
Entity Type:Organization
Organization Name:NEW FOCUS ADDICTION AND BEHAVIORAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LEE ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIGON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:949-456-2473
Mailing Address - Street 1:45 EAGLE OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-6665
Mailing Address - Country:US
Mailing Address - Phone:706-867-0006
Mailing Address - Fax:706-864-0060
Practice Address - Street 1:45 EAGLE OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-6665
Practice Address - Country:US
Practice Address - Phone:706-867-0006
Practice Address - Fax:706-864-0060
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW FOCUS ADDICTION AND BEHAVIORAL HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children