Provider Demographics
NPI:1851023485
Name:JUST FOR MEN BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:JUST FOR MEN BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-491-0338
Mailing Address - Street 1:2295 PARKLAKE DR NE STE 558
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2844
Mailing Address - Country:US
Mailing Address - Phone:770-988-6525
Mailing Address - Fax:
Practice Address - Street 1:2295 PARKLAKE DR NE STE 558
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2844
Practice Address - Country:US
Practice Address - Phone:770-988-6525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)