| Kiwiaba Llc | |
|
1401 Applewood Dr Ste 2 Dalton GA 30720-2699 | |
| (718) 404-2564 | |
| Not Available |
| Full Name | Kiwiaba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 Applewood Dr Ste 2, Dalton, Georgia |
| Authorized Official Name and Position | Moshe Perlstein (OWNER) |
| Authorized Official Contact | 7184042564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiwiaba Llc 1401 Applewood Dr Ste 2 Dalton GA 30720-2699 Ph: (718) 404-2564 | Kiwiaba Llc 1401 Applewood Dr Ste 2 Dalton GA 30720-2699 Ph: (718) 404-2564 |
| NPI Number | 1073271193 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073271193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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