| NPI | 1053982827 |
|---|---|
| Doing Business As | INNER VOYAGE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFF BENNETT BAUCOM Owner/Operator 404-713-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QH0100X Clinic/Center, Health Services | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-12-29 |