# LITTLE DEBBIE'S SECOND CHANCE HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487792396
- **Authorized official:** MS. LAKISHA SHAVON STIGGERS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (770) 912-3742

## Contact information

- **Practice address:** 3900 LEPRECHAUN CT, DECATUR, GA 30034-2168
- **Practice address phone:** (770) 912-3742
- **Practice address fax:** (404) 288-0671
- **Mailing address:** 3900 LEPRECHAUN CT, DECATUR, GA 30034-2168
- **Mailing address phone:** (770) 912-3742
- **Mailing address fax:** (404) 288-0671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | GA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | CC1001625 | GA | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 04/20/2011
