Organization
WISH HEALTH SERVICES OF GEORGIA
Active
Organization
WISH HEALTH SERVICES OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIMYEREIA RAILYNN LEWIS-JONES (OWNER)
(504) 669-4209
Entity
Organization
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(504) 000-0000
Mailing address
PO BOX 750423, NEW ORLEANS, LA 70175-0423
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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