NPI | 1114660057 |
---|---|
Doing Business As | SOUTHERN SKY RECOVERY |
Entity Type | Organization |
Authorized Contact | NATHAN SHEPARD CEO 912-536-3173 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
2083A0300X Preventive Medicine, Addiction Medicine | |
Enumeration Date | 2022-04-19 |
Last Update Date | 2024-04-26 |