Organization
DUNWOODY BEHAVIORAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF SHUBAEV (COO)
(404) 951-6020
Entity
Organization
Contact information
Practice address
4594 BARCLAY DR, ATLANTA, GA 30338-5883
(404) 951-6020
Mailing address
PO BOX 88567, ATLANTA, GA 30356-8567
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
08/12/2021
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