Organization
FAMILY AND YOUTH INTERVENTION SPECIALIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH OSONDU (CEO)
(404) 259-9737
Entity
Organization
Contact information
Practice address
1206 SILVER MOON TRL, LITHIA SPRINGS, GA 30122-3969
(404) 259-9737
(678) 398-3396
Mailing address
1206 SILVER MOON TRL, LITHIA SPRINGS, GA 30122-3969
(404) 259-9737
(678) 398-3396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/23/2013
Last updated
01/24/2018
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