| NPI | 1083106686 |
|---|---|
| Doing Business As | ST MIKELS BEHAVIORAL HEALTH SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | MORUFAT DIJI CEO 470-263-8517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |