Kiya Club Comprehensive Treatment Center in Riverdale - Community/behavioral Health
Kiya Club Comprehensive Treatment Center - NPI 1982888640
Kiya Club Comprehensive Treatment Center is a Community/behavioral Health in Riverdale, Georgia. Kiya Club Comprehensive Treatment Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Kiya Club Comprehensive Treatment Center is 1982888640. The last update date is 2007-12-18.
Kiya Club Comprehensive Treatment Center's current location address is 1258 Highway 138 Sw, Riverdale, Georgia. You can contact this provider via phone number 7709942225 and fax number 7709942226. The mailing address for Kiya Club Comprehensive Treatment Center is 1258 Highway 138 Sw, Riverdale, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kiya Club Comprehensive Treatment Center |
|---|---|
| Address | 1258 Highway 138 Sw, Riverdale, Georgia |
| Phone Number | 7709942225 |
| Fax Number | 7709942226 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/OWNER |
|---|---|
| Authorized Official Name | Cosby D Angela |
| Credentials | PH.D. |
| Telephone Number | 7709942225 |
NPI Number Detail
| NPI Number | 1982888640 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 1258 Highway 138 Sw |
|---|---|
| City | Riverdale |
| State | Georgia (GA) |
| Post Code | 302961402 |
| Phone Number | 7709942225 |
| Fax Number | 7709942226 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identification code assigned to Kiya Club Comprehensive Treatment Center by the Centers for Medicare & Medicaid Services?
The Kiya Club Comprehensive Treatment Center has been issued the NPI (National Provider Identifier) 1982888640, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kiya Club Comprehensive Treatment Center is geographically located?
The Kiya Club Comprehensive Treatment Center is physically situated at the following location: 1258 Highway 138 Sw, Riverdale, GA, 302961402.
What is Kiya Club Comprehensive Treatment Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kiya Club Comprehensive Treatment Center is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
On what date did the Kiya Club Comprehensive Treatment Center receive the assignment of its 1982888640 from the Centers for Medicare & Medicaid Services?
The Kiya Club Comprehensive Treatment Center was issued its 1982888640 by the Centers for Medicare & Medicaid Services on 2007-12-18.
As of what date were the details related to Kiya Club Comprehensive Treatment Center most recently updated or revised?
The information pertaining to Kiya Club Comprehensive Treatment Center, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-18.
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