Organization
ST MIKELS BEHAVIORAL HEALTH SERVICES LLC
Active
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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