NPI | 1083881395 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE B BRYANT CEO/Program Director 229-446-1953 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2008-05-15 |
Last Update Date | 2008-05-15 |