Organization
CENTER FOR VICTIMS OF TORTURE
Active
Parent organization
CENTER FOR VICTIMS OF TORTURE
Other names
The Center for Victims of Torture
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR VICTIMS OF TORTURE
Authorized official
KA THAO (BILLER)
(612) 436-4860
Entity
Organization
Contact information
Practice address
4020 E PONCE DE LEON AVE, CLARKSTON, GA 30021-1815
(470) 545-2776
Mailing address
4020 E PONCE DE LEON AVE, CLARKSTON, GA 30021-1815
(470) 545-2776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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