Kiya Club Ctc

LBN: Kiya Club Comprehensive Treatment Center
Kiya Club Ctc is an health care organization with primary practice located at 1258 Highway 138 Sw , Riverdale GA 30296-1402. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Kiya Club Comprehensive Treatment Center can be contacted via phone (770) 994-2225, or through Cosby, Angela D via phone (770) 994-2225.

Contact Information

Primary practice address
1258 Highway 138 Sw Riverdale GA 30296-1402
Phone: (770) 994-2225
Fax: (770) 994-2226
Website:
Map and Directions
Authorized official contact:
Name: Cosby, Angela D PH.D.
Phone: (770) 994-2225

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1982888640
LBN Legal business name Kiya Club Comprehensive Treatment Center
DBA Doing business as Kiya Club Ctc
Authorized official Cosby, Angela D PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2007
Last updated Dec 18th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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