Organization
COMPASSIONATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEKEYA LEE (OWNER)
(936) 545-6074
Entity
Organization
Contact information
Practice address
8050 TAYLOR RD APT 2305, RIVERDALE, GA 30274-7101
(936) 545-6074
Mailing address
8050 TAYLOR RD APT 2305, RIVERDALE, GA 30274-7101
(936) 545-6074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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