NPI | 1104273234 |
---|---|
Entity Type | Organization |
Authorized Contact | NIKKI WRIGHT Owner 678-834-7615 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
251S00000X Community/Behavioral Health | |
305S00000X Point of Service | |
Enumeration Date | 2016-05-18 |
Last Update Date | 2016-05-18 |