| NPI | 1114417649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY FOSKEY Executive Director 912-659-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |