Organization
FAMILY LEADERSHIP SERIVCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD BLAKENEY (CO-OWNER)
(704) 287-1573
Entity
Organization
Contact information
Practice address
11170 WEEPING WILLOW PL, HAMPTON, GA 30228-3286
(704) 287-1573
Mailing address
11170 WEEPING WILLOW PL, HAMPTON, GA 30228-3286
(704) 287-1573
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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