The Sanctuary House, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

THE SANCTUARY HOUSE, INC

Practice address

500 John Deere Rd NW
Monroe, GA 30656-4769

Phone

(678) 492-0187

Fax

(440) 794-5974

NPI assigned

Apr 16, 2009

Last updated

Apr 16, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lekeisha Patrice Banks

Title

Executive Director

Phone

(678) 492-0187

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1932342235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 TUNBRIDGE WELLS RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585681",
            "telephone_number": "678-492-0187",
            "fax_number": "440-794-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHN DEERE RD NW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564769",
            "telephone_number": "678-492-0187",
            "fax_number": "440-794-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SANCTUARY HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "LEKEISHA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-492-0187",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Monroe, GA
• Providers in Monroe, GA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.