Kiya Club Comprehensive Treatment Center

NPI #1982888640 in Riverdale, Georgia

Provider Information

NPI Number
1982888640
Entity Type
Organization
Organization Name
Kiya Club Comprehensive Treatment Center
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 18, 2007
Last Updated
Dec 18, 2007

Practice Location

Address
1258 HIGHWAY 138 SW
State
Georgia
ZIP Code
30296-1402
Phone
(770) 994-2225

Authorized Official

Name
DR. ANGELA D COSBY, PH.D.
Title
CEO/OWNER
Phone
(770) 994-2225

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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