| NPI | 1114273315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK MICHAEL WILLIAMS Certified Addiction Counselor 404-245-9265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA 236) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |