Provider Demographics
NPI:1316404767
Name:GEORGIA HARM REDUCTION COALITION INC
Entity Type:Organization
Organization Name:GEORGIA HARM REDUCTION COALITION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOJGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-817-9994
Mailing Address - Street 1:1231 JOSEPH E BOONE BLVD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30314-2395
Mailing Address - Country:US
Mailing Address - Phone:404-817-9994
Mailing Address - Fax:404-817-9939
Practice Address - Street 1:1231 JOSEPH E BOONE BLVD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30314-2395
Practice Address - Country:US
Practice Address - Phone:404-817-9994
Practice Address - Fax:404-817-9939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local