| Kfm Youth Outreach Initiative, Inc | |
|
1136 Metropolitan Pkwy Sw Atlanta GA 30310-3544 | |
| (404) 755-3003 | |
| Not Available |
| Full Name | Kfm Youth Outreach Initiative, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1136 Metropolitan Pkwy Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Brenda Gibbons (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4047553003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kfm Youth Outreach Initiative, Inc Po Box 6741 Atlanta GA 30315-0741 Ph: (404) 755-3003 | Kfm Youth Outreach Initiative, Inc 1136 Metropolitan Pkwy Sw Atlanta GA 30310-3544 Ph: (404) 755-3003 |
| NPI Number | 1508308982 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 11/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508308982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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