Provider Demographics
NPI:1477214765
Name:ATLANTA TREATMENT CENTER
Entity Type:Organization
Organization Name:ATLANTA TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:UFUOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OYIBO
Authorized Official - Suffix:
Authorized Official - Credentials:CADCII, CAMSII
Authorized Official - Phone:404-333-8301
Mailing Address - Street 1:1755 THE EXCHANGE SE STE 375
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-7405
Mailing Address - Country:US
Mailing Address - Phone:404-333-8301
Mailing Address - Fax:
Practice Address - Street 1:1755 THE EXCHANGE SE STE 375
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-7405
Practice Address - Country:US
Practice Address - Phone:404-333-8301
Practice Address - Fax:470-468-9062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health