NPI | 1104569045 |
---|---|
Entity Type | Organization |
Authorized Contact | CAITLIN LAWRENCE Owner 678-699-8558 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101Y00000X Counselor |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2022-04-19 |
Last Update Date | 2022-04-19 |