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