Atunwa Psychological And Community Outreach Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Tallahassee, FL. Organization (NPI-2).
NPI number1053918292
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1053918292
- Entity type
- Organization (NPI-2)
- Legal business name
- Atunwa Psychological And Community Outreach Services, LLC
- Organization subpart
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1512 Blountstown StTallahassee, FL 32304-1109
Phone 850-299-4991 · Fax 850-390-4095
Mailing address
Po Box 15262Tallahassee, FL 32317-5262
Authorized official
Jermaine Robertson
Licensed Psychologist
8502994991
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