KFM Youth Outreach Initiative, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KFM YOUTH OUTREACH INITIATIVE, INC

Practice address

1136 Metropolitan Pkwy SW
Atlanta, GA 30310-3544

Phone

(404) 755-3003

NPI assigned

Nov 16, 2016

Organization subpart

No

Name

Brenda Gibbons

Title

Executive Director

Phone

(404) 755-3003

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Manning, RN

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1548702939
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2016.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1508308982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6741",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303150741",
            "telephone_number": "404-755-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 METROPOLITAN PKWY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303103544",
            "telephone_number": "404-755-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KFM YOUTH OUTREACH INITIATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-755-3003"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Keyser, AUD
• Harry L Keyserling, MD
• Keystone Behavioral Health Center
• KF Anesthesia, LLC
• KF Anesthesia, LLC
• Kgoc Group
• Rima F. Khabbaz, M.D.
• Mustafa Adam Khader, MD
• Zaina Khader
• Monica Khadka

• All providers in Atlanta, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.