AMERICAN ASSOCIATION OF INTEGRATIVE & PASTORAL MEDICINE NPI 1487025482

NPI Information

AMERICAN ASSOCIATION OF INTEGRATIVE & PASTORAL MEDICINE is a voluntary or charitable in Atlanta, GA. AMERICAN ASSOCIATION OF INTEGRATIVE & PASTORAL MEDICINE NPI is 1487025482. The provider is registered as an organization entity type.
The provider Is Doing Business As Edenic Light Integrative Family Life Care.

The provider's business location address is:

3695 CASCADE RD SW # 117F
ATLANTA, GA
ZIP 30331-173
Phone: (678) 909-4422
Fax: (866) 357-6267

The provider's authorized official is Shalomim Yahoshua Halahawi .
The authorized official title is Executive Officer and has the following contact phone number (678) 909-4422.

The CLIA number assigned to this NPI record is 11D2003757 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 10/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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