Organization
FAYA KUN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARQUEL MUHAMMAD (OWNER)
(323) 866-9730
Entity
Organization
Contact information
Practice address
3925 N MARTIN L KING BLVD STE 102, NORTH LAS VEGAS, NV 89032-7674
(323) 866-9730
Mailing address
5790 WESTCHASE ST, ATLANTA, GA 30336-2919
(323) 866-9730
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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