| The Kiya House, Inc. | |
|
1256 Highway 138 Sw Riverdale GA 30296-1402 | |
| (770) 994-2223 | |
| (770) 994-2224 |
| Full Name | The Kiya House, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1256 Highway 138 Sw, Riverdale, Georgia |
| Authorized Official Name and Position | Angela Denise Cosby (CEO/OWNER) |
| Authorized Official Contact | 7709942223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kiya House, Inc. 1256 Highway 138 Sw Riverdale GA 30296-1402 Ph: (770) 994-2223 | The Kiya House, Inc. 1256 Highway 138 Sw Riverdale GA 30296-1402 Ph: (770) 994-2223 |
| NPI Number | 1578756532 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 08/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578756532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
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