| NPI | 1003445917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PAYNE Executive Director 770-560-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2022-10-22 |