Organization
SMITH OUT REACH FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEASHA SMITH (CEO, CFO)
(470) 545-2188
Entity
Organization
Contact information
Practice address
4775 LONGVIEW RUN, DECATUR, GA 30035-6007
(470) 545-2188
Mailing address
4775 LONGVIEW RUN, DECATUR, GA 30035-6007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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