NPI | 1053556365 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY COLEY HENDERSON CEO 404-271-8768 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261Q00000X (Licence: GA NTP001030) |
Enumeration Date | 2008-12-16 |
Last Update Date | 2023-04-06 |