Organization
LEGION FOR HOPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMELIA BALLAH-DOUGLAS (EXECUTIVE DIRECTOR)
(770) 882-4031
Entity
Organization
Contact information
Practice address
2220 JOHNSON CREEK DR, LITHONIA, GA 30058-5183
(770) 882-4031
Mailing address
3020 HOLCOMB BRIDGE RD, NORCROSS, GA 30071-1375
(678) 901-9772
(866) 864-3408
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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