Organization
WALKER LAKEBREEZE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEARL WALKER (ADMINISTRATOR)
(770) 784-0187
Entity
Organization
Contact information
Practice address
440 LANG RD, COVINGTON, GA 30014-6151
(770) 784-0187
(770) 788-3140
Mailing address
440 LANG RD, COVINGTON, GA 30014-6151
(770) 784-0187
(770) 788-3140
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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