Organization
ORI INU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESI MILLER PH.D. (CLINICAL PSYCHOLOGIST)
(404) 316-2593
Entity
Organization
Contact information
Practice address
1687 HAMILTON AVE, EAST POINT, GA 30344-4249
(470) 240-8881
Mailing address
1382 CLERMONT AVE, EAST POINT, GA 30344-1754
(404) 316-2593
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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