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Organization
LITTLE DEBBIE'S SECOND CHANCE HOME, INC.
Active
Organization
LITTLE DEBBIE'S SECOND CHANCE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKISHA SHAVON STIGGERS (EXECUTIVE DIRECTOR)
(770) 912-3742
Entity
Organization
Contact information
Practice address
3900 LEPRECHAUN CT, DECATUR, GA 30034-2168
(770) 912-3742
(404) 288-0671
Mailing address
3900 LEPRECHAUN CT, DECATUR, GA 30034-2168
(770) 912-3742
(404) 288-0671
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
GA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CC1001625
GA
Other
Enumeration date
02/02/2007
Last updated
04/20/2011
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