INNOCENT IKE

ATLANTA, GA
NPI1164829677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
171W00000X Contractor
172V00000X Community Health Worker
Enumeration Date2014-11-26
Last Update Date2014-11-26
Business Address
-- INNOCENT IKE
2001 MARTIN LUTHER KING JR DR SW SUITE
ATLANTA, GA 30310-1101
Phone number: 404-564-6486
Mailing Address
-- INNOCENT IKE
2001 MARTIN LUTHER KING JR DR SW SUITE
ATLANTA, GA 30310-1101
Phone number: 404-564-6486