Organization
HOUSE OF INSPIRATION GROUP HOME, INC
Active
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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