Provider Demographics
NPI:1245531615
Name:GIVE THANKS TO GOD LLC
Entity type:Organization
Organization Name:GIVE THANKS TO GOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:AIGHOBAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-864-1598
Mailing Address - Street 1:3306 SAN ANTONIO DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-6975
Mailing Address - Country:US
Mailing Address - Phone:770-864-1598
Mailing Address - Fax:
Practice Address - Street 1:3306 SAN ANTONIO DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6975
Practice Address - Country:US
Practice Address - Phone:770-864-1598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067014149320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness