| NPI | 1043087174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUELLA ARMSTRONG Counselor 706-591-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |