Organization
KFM YOUTH OUTREACH INITIATIVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA GIBBONS (EXECUTIVE DIRECTOR)
(404) 755-3003
Entity
Organization
Contact information
Practice address
1136 METROPOLITAN PKWY SW, ATLANTA, GA 30310-3544
(404) 755-3003
Mailing address
PO BOX 6741, ATLANTA, GA 30315-0741
(404) 755-3003
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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