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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