Organization
HOPE FOR CHANGE FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA OUTLAW (ORGANIZER/OWNER)
(910) 257-1084
Entity
Organization
Contact information
Practice address
2571 CANDLER RD APT E4, DECATUR, GA 30032-6508
(910) 257-1084
Mailing address
2571 CANDLER RD., APT. E4, DECATUR, GA 30032
(910) 257-1084
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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