| NPI | 1134768823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN TOURE President/CEO 770-771-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2022-09-16 |