Organization
FAMILY AND YOUTH INTERVENTION SPECIALIST, INC.
Active
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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