# DUNWOODY BEHAVIORAL HEALTH CENTER LLC

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

## Provider details

- **NPI number:** 1851960595
- **Authorized official:** YOSEF SHUBAEV (COO)
- **Authorized official phone:** (404) 951-6020

## Contact information

- **Practice address:** 4594 BARCLAY DR, ATLANTA, GA 30338-5883
- **Practice address phone:** (404) 951-6020
- **Mailing address:** PO BOX 88567, ATLANTA, GA 30356-8567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2021
- **Last updated:** 08/12/2021