Organization
TANGU, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER BROOKS PHD (CEO)
(404) 597-3613
Entity
Organization
Contact information
Practice address
1820 WATER PL SE STE 250, ATLANTA, GA 30339-2287
(866) 728-2689
(305) 930-7437
Mailing address
159 FORSYTH ST SW, ATLANTA, GA 30303-3634
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025068607A
—
GA
Enumeration date
10/22/2010
Last updated
08/06/2019
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