Hope For Change Family Services, Llc | |
2571 Candler Rd Apt E4 Decatur GA 30032-6508 | |
(910) 257-1084 | |
Not Available |
Full Name | Hope For Change Family Services, Llc |
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Speciality | Community/behavioral Health |
Location | 2571 Candler Rd Apt E4, Decatur, Georgia |
Authorized Official Name and Position | Lakisha Outlaw (ORGANIZER/OWNER) |
Authorized Official Contact | 9102571084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hope For Change Family Services, Llc 2571 Candler Rd., Apt. E4 Decatur GA 30032 Ph: (910) 257-1084 | Hope For Change Family Services, Llc 2571 Candler Rd Apt E4 Decatur GA 30032-6508 Ph: (910) 257-1084 |
NPI Number | 1932562535 |
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Provider Enumeration Date | 03/31/2016 |
Last Update Date | 03/31/2016 |
Identifier | Type | State | Issuer |
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1932562535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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