Organization
MAYSPRINGS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NDIDIAMAKA ONYEANWULI NWAKA MD (CEO)
(770) 627-7215
Entity
Organization
Contact information
Practice address
3995 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 627-7215
Mailing address
1000 PEACHTREE INDUSTRIAL BLVD STE 6-478, SUWANEE, GA 30024-6737
(770) 627-7215
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
08/25/2022
Last updated
09/20/2022
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