| NPI | 1033502877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HAYES Business Development Executive 678-486-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |