Organization
AYA & HOUZE ENTERPRISES
Active
Other names
A.Y.A
Organization subpart
No
Provider details
NPI number
Authorized official
KALYN MATTIS (OWNER)
(404) 759-0707
Entity
Organization
Contact information
Practice address
2602 QUEEN ANNE CT, ATLANTA, GA 30350-6300
(404) 759-0707
Mailing address
2602 QUEEN ANNE CT, ATLANTA, GA 30350-6300
(404) 759-0707
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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