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Organization

HOPE FOR LIFE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH GUNNERSON PHD (OWNER)
(801) 651-7270
Entity
Organization

Contact information

Practice address
132 RALEIGH CT, STATESBORO, GA 30458-0160
(912) 225-6920
Mailing address
PO BOX 2405, STATESBORO, GA 30459-2405

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/14/2022
Last updated
09/14/2022
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