| NPI | 1053570762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SCOTT Billing 912-764-6906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA LPN031106) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |