Organization
ATLANTA INSTITUTE FOR FAMILY STUDIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL I BERGER PHD (PRESIDENT)
(770) 554-5414
Entity
Organization
Contact information
Practice address
935 LOST FOREST DR NW, ATLANTA, GA 30328-2158
(770) 417-2717
(770) 466-3167
Mailing address
PO BOX 1147, LOGANVILLE, GA 30052-1147
(770) 554-5414
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY000461
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
682222414292
MEDICARE PTAN
GA
Enumeration date
02/21/2013
Last updated
02/21/2013
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