Provider Demographics
NPI:1689259616
Name:DESTINED OPPORTUNITIES RECRUITING FIRM
Entity Type:Organization
Organization Name:DESTINED OPPORTUNITIES RECRUITING FIRM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DEVON
Authorized Official - Last Name:CARLISLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-771-6255
Mailing Address - Street 1:5737 STRATHMOOR MANOR CIR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-2619
Mailing Address - Country:US
Mailing Address - Phone:404-771-6255
Mailing Address - Fax:
Practice Address - Street 1:5737 STRATHMOOR MANOR CIR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-2619
Practice Address - Country:US
Practice Address - Phone:404-771-6255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management