Organization
FOCUS LIGHT INTEGRATED TREATMENT AND COUNSELING COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TITI A IPADEOLA PH.D (CEO)
(770) 865-9118
Entity
Organization
Contact information
Practice address
20 AYERS AVE NE, MARIETTA, GA 30060-2112
(770) 865-9118
Mailing address
20 AYERS AVE NE, MARIETTA, GA 30060-2112
(770) 865-9118
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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