| NPI | 1053918151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTRUBERTO FLORES Assistant Treasurer 404-728-1300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |