NPI | 1063860740 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM I ALIMI CEO 770-896-6730 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 302R00000X Health Maintenance Organization |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-06-02 |