Organization
OUTRAGEOUS LOVE FOUNDATION, INC
Active
Other names
Outrageous Love
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA EUSERY KNIGHT (FOUNDER/CEO)
(470) 214-4547
Entity
Organization
Contact information
Practice address
151 N MIMOSA LN, JACKSON, GA 30233-1914
(470) 214-4547
(470) 251-5141
Mailing address
PO BOX 372, JACKSON, GA 30233-0008
(470) 214-4547
(470) 251-5141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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