Provider Demographics
NPI:1982193215
Name:A BETTER LIFE TREATMENT INC.
Entity Type:Organization
Organization Name:A BETTER LIFE TREATMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:UFUOMA
Authorized Official - Middle Name:OSAETIN
Authorized Official - Last Name:OYIBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-594-1770
Mailing Address - Street 1:1755 THE EXCHANGE SE STE 365
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-7404
Mailing Address - Country:US
Mailing Address - Phone:404-594-1770
Mailing Address - Fax:770-648-5797
Practice Address - Street 1:1755 THE EXCHANGE SE STE 365
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-7404
Practice Address - Country:US
Practice Address - Phone:404-594-1770
Practice Address - Fax:770-648-5797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty