| Tangu, Inc | |
|
1820 Water Pl Se Ste 250 Atlanta GA 30339-2287 | |
| (866) 728-2689 | |
| (305) 930-7437 |
| Full Name | Tangu, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1820 Water Pl Se Ste 250, Atlanta, Georgia |
| Authorized Official Name and Position | Walter Brooks (CEO) |
| Authorized Official Contact | 4045973613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tangu, Inc 159 Forsyth St Sw Atlanta GA 30303-3634 Ph: () - | Tangu, Inc 1820 Water Pl Se Ste 250 Atlanta GA 30339-2287 Ph: (866) 728-2689 |
| NPI Number | 1336449537 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 08/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336449537 | NPI | - | NPPES |
| 025068607A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (Georgia) | Primary |
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