OrganizationActive
Access Health Treatment Center LLC
NPI 1699220475 · Methadone Clinic · Fayetteville, GA
Provider details
- NPI number
- 1699220475
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Authorized official
- India Johnson, Ceo/Owner
Practice location
105 Bradford Sq
Suite a
Fayetteville, GA 30215-1974
Phone: (770) 742-3846
Fax: (770) 742-3855
Mailing address
Po Box 374102
Decatur, GA 30037-4102
Registry dates
- Enumerated
- 2016-08-22
- Last updated
- 2016-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.