NPI 1467645044

Harvestlodge Homes and Services for Children and Families

Organisation Community/Behavioral Health Agency Ellenwood, GA

Practice location

Address: 4187 Connor Dr., Ellenwood, GA 30294
Phone: (770) 981-2903
Fax: (770) 808-6648
Mailing address: 3467 Hunters Hill Dr, Lithonia, GA 30038-1614

Authorised official

Name: Dannetta B Sparks
Title: Ceo/Director
Phone: (770) 981-2903

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Georgia →

Registry record

NPI: 1467645044
Entity type: Organization
NPI issued: 27 Aug 2007
Record last updated: 27 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.