| NPI | 1114783065 |
|---|---|
| Doing Business As | THE RECOVERY VILLAGE SOUTH ATLANTA |
| Entity Type | Organization |
| Authorized Contact | BELINA SURUJON Contracting & Licensing Director 305-785-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |