Organization
HOUSE OF INSPIRATION GROUP HOME, INC
Active
Other names
House of Inspiration
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH THOMPSON (CHIEF EXECUTIVE OFFICER)
(678) 777-3635
Entity
Organization
Contact information
Practice address
804 COMMERCE BLVD, SUITE A2, RIVERDALE, GA 30296-7198
(678) 479-7040
(678) 731-1552
Mailing address
PO BOX 741207, RIVERDALE, GA 30274-1319
(678) 479-7040
(678) 731-1552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
12/01/2007
Last updated
12/01/2007
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