Provider Demographics
NPI:1902270176
Name:DECISIONPOINT LLC
Entity Type:Organization
Organization Name:DECISIONPOINT LLC
Other - Org Name:DECISIONPOINT WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-819-1567
Mailing Address - Street 1:10700 STATE BRIDGE RD.
Mailing Address - Street 2:6
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022
Mailing Address - Country:US
Mailing Address - Phone:888-892-8178
Mailing Address - Fax:
Practice Address - Street 1:10700 STATE BRIDGE RD
Practice Address - Street 2:6
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-7491
Practice Address - Country:US
Practice Address - Phone:888-892-8178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251S00000XAgenciesCommunity/Behavioral Health