Hopes Of Honorable Youth, Llc | |
130 W Wieuca Rd Ne Ste 204b Sandy Springs GA 30342-3288 | |
(404) 797-7126 | |
Not Available |
Full Name | Hopes Of Honorable Youth, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 130 W Wieuca Rd Ne Ste 204b, Sandy Springs, Georgia |
Authorized Official Name and Position | Lele Nadew (DIRECTOR) |
Authorized Official Contact | 4047977127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hopes Of Honorable Youth, Llc 130 W Wieuca Rd Ne Ste 204b Sandy Springs GA 30342-3288 Ph: (404) 797-7126 | Hopes Of Honorable Youth, Llc 130 W Wieuca Rd Ne Ste 204b Sandy Springs GA 30342-3288 Ph: (404) 797-7126 |
NPI Number | 1144547670 |
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Provider Enumeration Date | 04/23/2010 |
Last Update Date | 04/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144547670 | NPI | - | NPPES |
623661151A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1000004730 (Georgia) | Primary |
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