Organization
THE SANCTUARY HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEKEISHA PATRICE BANKS (EXECUTIVE DIRECTOR)
(678) 492-0187
Entity
Organization
Contact information
Practice address
500 JOHN DEERE RD NW, MONROE, GA 30656-4769
(678) 492-0187
(440) 794-5974
Mailing address
5631 TUNBRIDGE WELLS RD, LITHONIA, GA 30058-5681
(678) 492-0187
(440) 794-5974
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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