| NPI | 1144155466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE HAVA CEO 706-225-9123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-06-17 |