# PRIME TREATMENT & WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417782376
- **Authorized official:** OGOCHUKWU OJIAKU (PROVIDER/OWNER)
- **Authorized official phone:** (404) 457-3743

## Contact information

- **Practice address:** 165 AVONLEA DR, COVINGTON, GA 30016-1226
- **Practice address phone:** (678) 235-8934
- **Mailing address:** 165 AVONLEA DR, COVINGTON, GA 30016-1226
- **Mailing address phone:** (678) 235-8934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2024
- **Last updated:** 09/02/2024