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Organization

UMMAHTEK & ASSOCIATES, INC.

Active
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Organization

UMMAHTEK & ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISLAH S ALI MA, CADCII (CEO)
(404) 734-8376
Entity
Organization

Contact information

Practice address
100 BRAXTON CT, FAYETTEVILLE, GA 30214-1968
(770) 284-1988
(470) 312-2990
Mailing address
165 MARION PL NE, UNIT 605, ATLANTA, GA 30307-2747
(404) 734-8376
(470) 312-2990

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QC1500X
Community Health Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QP3300X
Pain Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131 101400000Y
SEC
GA
01
91 261QR0405X
SEC
GA
Enumeration date
05/03/2016
Last updated
05/03/2016
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