Outrageous Love Foundation, INC

NPI #1427895333 in Jackson, Georgia

Provider Information

NPI Number: 1427895333
Entity Type: Organization
Organization Name: Outrageous Love Foundation, INC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 9, 2024
Last Updated: Jul 9, 2024

Practice Location

Address: 151 N MIMOSA LN
City: Jackson
State: Georgia
ZIP Code: 30233-1914
Phone: (470) 214-4547

Authorized Official

Name: DR. CASSANDRA EUSERY KNIGHT
Title: FOUNDER/CEO
Phone: (470) 214-4547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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