Organization
LIFESKILLS FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE SAMUEL (EXECUTIVE DIRECTOR)
(706) 863-9971
Entity
Organization
Contact information
Practice address
1816 WALKER ST, AUGUSTA, GA 30904-3659
(706) 267-9581
Mailing address
PO BOX 204048, AUGUSTA, GA 30917-4048
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LPC04525
GA
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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