Organization
ESSENTIAL MEDICAL AND MENTAL HEALTH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIYAH GLOVER (OWNER)
(770) 873-0236
Entity
Organization
Contact information
Practice address
486 LUKE CT, JONESBORO, GA 30238-5798
(770) 873-0236
Mailing address
486 LUKE CT, JONESBORO, GA 30238-5798
(770) 873-0236
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC010206
N/A
GA
Enumeration date
03/30/2019
Last updated
03/30/2019
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