Whalio Doctors

NPI 1487792396

Little Debbie's Second Chance Home, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Decatur, GA

Practice location

Address
3900 Leprechaun CT, Decatur, GA 30034-2168
Phone
(770) 912-3742
Fax
(404) 288-0671

Authorised official

Name
Lakisha Shavon Stiggers
Title
Executive Director
Phone
(770) 912-3742

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence CC1001625 (GA)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1487792396
Entity type
Organization
NPI issued
2 Feb 2007
Record last updated
20 Apr 2011

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.