| NPI | 1104464544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA KIMBRO Director Of Finance 706-633-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |