| NPI | 1124703988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMISON HOFFMAN Director Of Operations 404-771-9863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-09-30 |