Harvestlodge Homes and Services for Children and Families

NPI #1467645044 in Ellenwood, Georgia

Provider Information

NPI Number
1467645044
Entity Type
Organization
Organization Name
Harvestlodge Homes and Services for Children and Families
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 27, 2007
Last Updated
Aug 27, 2007

Practice Location

Address
4187 CONNOR DR.
State
Georgia
ZIP Code
30294
Phone
(770) 981-2903

Authorized Official

Name
DR. DANNETTA B SPARKS, PH.D.
Title
CEO/DIRECTOR
Phone
(770) 981-2903

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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