| St Mikels Behavioral Health Services Llc | |
|
11638 Davenport Ln Johns Creek GA 30005-4610 | |
| (470) 263-8517 | |
| Not Available |
| Full Name | St Mikels Behavioral Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11638 Davenport Ln, Johns Creek, Georgia |
| Authorized Official Name and Position | Morufat Diji (CEO) |
| Authorized Official Contact | 4702638517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mikels Behavioral Health Services Llc 1205 Fiscer Trace Cumming GA 30041 Ph: (470) 263-8517 | St Mikels Behavioral Health Services Llc 11638 Davenport Ln Johns Creek GA 30005-4610 Ph: (470) 263-8517 |
| NPI Number | 1083106686 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083106686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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