| Our House, Inc. | |
|
173 Boulevard Ne Atlanta GA 30312-1468 | |
| (404) 658-1500 | |
| (404) 522-6170 |
| Full Name | Our House, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 173 Boulevard Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Tyese Lawyer (CEO & PRESIDENT) |
| Authorized Official Contact | 4045226056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our House, Inc. 173 Boulevard Ne Atlanta GA 30312-1468 Ph: () - | Our House, Inc. 173 Boulevard Ne Atlanta GA 30312-1468 Ph: (404) 658-1500 |
| NPI Number | 1104527944 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104527944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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