| Family Care And Counseling Services, Inc | |
|
1105 Palmer Rd Lithonia GA 30058-2947 | |
| (770) 366-3163 | |
| (770) 837-3511 |
| Full Name | Family Care And Counseling Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1105 Palmer Rd, Lithonia, Georgia |
| Authorized Official Name and Position | Obadiah Tentishe Yusufu (CEO) |
| Authorized Official Contact | 7703663163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care And Counseling Services, Inc 1105 Palmer Rd Lithonia GA 30058-2947 Ph: (770) 366-3163 | Family Care And Counseling Services, Inc 1105 Palmer Rd Lithonia GA 30058-2947 Ph: (770) 366-3163 |
| NPI Number | 1003001801 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003001801 | NPI | - | NPPES |
| 75934753A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251SOOOOOX (Georgia) | Primary |
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