Spectrum Heights LLC.
Community/Behavioral Health in Atlanta, GA. Organization (NPI-2).
NPI number1265963003
StatusActive
Last updated in NPPESMar 23, 2017
Details
- NPI
- 1265963003
- Entity type
- Organization (NPI-2)
- Legal business name
- Spectrum Heights LLC.
- Organization subpart
- No
- Enumeration date
- Mar 23, 2017
- Last updated
- Mar 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 16097319 | GA | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | 16097319 | GA |
Practice location
436 Collier Rd NwAtlanta, GA 30309-1202
Phone 646-251-0799
Mailing address
436 Collier Rd NwAtlanta, GA 30309-1202
Phone 646-251-0799
Authorized official
Olumide Edemodu
Owner/Behavior Analyst
6462510799
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