Organization
ST MIKELS BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
St Mikels behavioral health services llc
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFAT DIJI (CEO)
(470) 263-8517
Entity
Organization
Contact information
Practice address
11638 DAVENPORT LN, JOHNS CREEK, GA 30005-4610
(470) 263-8517
Mailing address
1205 FISCER TRACE, CUMMING, GA 30041
(470) 263-8517
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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