| NPI | 1063092294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE THURSTON Executive Director 404-694-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2024-04-09 |