Organization
FAMILY CARE AND COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBADIAH TENTISHE YUSUFU ED.D (CEO)
(770) 366-3163
Entity
Organization
Contact information
Practice address
1105 PALMER RD, LITHONIA, GA 30058-2947
(770) 366-3163
(770) 837-3511
Mailing address
1105 PALMER RD, LITHONIA, GA 30058-2947
(770) 366-3163
(770) 837-3511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251SOOOOOX
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75934753A
—
GA
Enumeration date
09/14/2007
Last updated
09/14/2007
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