Organization
GEORGIA HOPE INC
Active
Other names
Georgia Youth Network Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE PORTER (EXECUTIVE DIRECTOR)
(770) 344-8704
Entity
Organization
Contact information
Practice address
4915 LAKE FOREST DR SE, CONYERS, GA 30094-4427
(770) 344-8704
(678) 609-5407
Mailing address
PO BOX 81574, CONYERS, GA 30013-9421
(770) 344-8704
(678) 609-5407
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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