Jehovahs Behavioral Care LLC

NPI #1619612876 in Dacula, Georgia

Provider Information

NPI Number
1619612876
Entity Type
Organization
Organization Name
Jehovahs Behavioral Care LLC
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
May 2, 2022
Last Updated
Nov 15, 2022

Practice Location

Address
3206 THIMBLEBERRY TRL
City
Dacula
State
Georgia
ZIP Code
30019-7299
Phone
(404) 819-7338

Authorized Official

Name
MS. GRACE FOMUNUNG, PMHNP
Title
MANAGER
Phone
(404) 819-7338

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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