Organization
INSPIRING KIDS ACADEMY
Active
Organization
INSPIRING KIDS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIQUITA S WAINWRIGHT (OWNER)
(678) 851-1005
Entity
Organization
Contact information
Practice address
5079 CHATOOGA DR, LITHONIA, GA 30038-2301
(770) 323-0102
(770) 323-0104
Mailing address
5079 CHATOOGA DR, LITHONIA, GA 30038-2301
(770) 323-0102
(770) 323-0104
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
GA
251S00000X
Community/Behavioral Health Agency
—
GA
251V00000X
Voluntary or Charitable Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3797
OWNER HOME 4 DIGIT NUMBER
GA
Enumeration date
04/16/2013
Last updated
04/16/2013
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