Provider Demographics
NPI:1750047684
Name:AMERICAN ALTERNATIVE COURT SERVICES, LLC
Entity Type:Organization
Organization Name:AMERICAN ALTERNATIVE COURT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOROZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-793-6838
Mailing Address - Street 1:1295 TERRELL MILL RD SE STE 104
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-9438
Mailing Address - Country:US
Mailing Address - Phone:404-793-6838
Mailing Address - Fax:
Practice Address - Street 1:1295 TERRELL MILL RD SE STE 104
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-9438
Practice Address - Country:US
Practice Address - Phone:404-793-6838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health