Organization
EMBRACING HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARONDA P GARDNER LPC (ORGANIZER)
(404) 392-6280
Entity
Organization
Contact information
Practice address
40 MACON ST STE D, MCDONOUGH, GA 30253-3233
(678) 831-7377
(678) 487-5340
Mailing address
PO BOX 1027, REX, GA 30273-8027
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
01/27/2021
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