Organization
RESTORE THE BROKEN PIECES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKANYA JACOBS BACHELOR DEGREE (CASE MANAGER)
(404) 951-2000
Entity
Organization
Contact information
Practice address
65 KATELEN CT, COVINGTON, GA 30016-7720
(404) 951-2000
Mailing address
65 KATELEN CT, COVINGTON, GA 30016-7720
(404) 951-2000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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