Organization
FAMILY CENTER OF SOUTH DEKALB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKUNGU AKINYELA PH.D, LMFT (OWNER)
(678) 418-0890
Entity
Organization
Contact information
Practice address
5000 SNAPFINGER WOODS DR STE C100, SUITE C-100, DECATUR, GA 30035-4057
(678) 418-0890
(678) 418-0892
Mailing address
5000 SNAPFINGER WOODS DR STE C100, SUITE C-100, DECATUR, GA 30035-4057
(678) 418-0890
(678) 418-0892
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
967590362A
—
GA
Enumeration date
04/27/2009
Last updated
04/27/2009
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