| NPI | 1023602471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA MCKINNEY Owner 678-799-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2024-10-28 |