Provider Demographics
NPI:1740444116
Name:NEW DAY TREATMENT CENTER LLC
Entity type:Organization
Organization Name:NEW DAY TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FARIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOHOURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-893-8208
Mailing Address - Street 1:2563 MARTIN LUTHER KING JR DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-1715
Mailing Address - Country:US
Mailing Address - Phone:404-699-7774
Mailing Address - Fax:404-699-7716
Practice Address - Street 1:2563 MARTIN LUTHER KING JR DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-1715
Practice Address - Country:US
Practice Address - Phone:404-699-7774
Practice Address - Fax:404-699-7716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA523194928AMedicaid