OrganizationActive
Bhi Outlet Inc
NPI 1215711122 · Intellectual & Developmental Disabilities Psychologist · Woodstock, GA
Provider details
- NPI number
- 1215711122
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jamita Martin, Ceo(770) 634-9994
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Practice location
7450 Highway 92 Ste 120
Woodstock, GA 30189-3484
Phone: (787) 672-8656
Fax: (855) 413-6890
Approximate (ZIP-level) locationGet directions
Mailing address
7450 Highway 92 Ste 120
Woodstock, GA 30189-3484
Other names (DBA / former)
- Doing business as
- Blakes House of Independence
Registry dates
- Enumerated
- 2023-08-22
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.