Provider Demographics
NPI:1528689684
Name:DON'T GO TO PRISON INITIATIVE
Entity type:Organization
Organization Name:DON'T GO TO PRISON INITIATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:LUWEMBA
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:404-721-5080
Mailing Address - Street 1:1016 HOWELL MILL RD NW APT 3407
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5588
Mailing Address - Country:US
Mailing Address - Phone:404-721-5080
Mailing Address - Fax:
Practice Address - Street 1:448 RALPH DAVID ABERNATHY BLVD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-2482
Practice Address - Country:US
Practice Address - Phone:404-721-5080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health