Provider Demographics
NPI:1346631991
Name:APPROVED DUI RISK REDUCTION PROGRAM, LLC
Entity Type:Organization
Organization Name:APPROVED DUI RISK REDUCTION PROGRAM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AKILAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROBINSOON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:404-644-9121
Mailing Address - Street 1:5 HURRICANE SHOALS RD NE STE C
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-4562
Mailing Address - Country:US
Mailing Address - Phone:404-644-9121
Mailing Address - Fax:770-910-9140
Practice Address - Street 1:5 HURRICANE SHOALS RD NE STE C
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4562
Practice Address - Country:US
Practice Address - Phone:404-644-9121
Practice Address - Fax:770-910-9140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty