| NPI | 1154861557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL WILSON Chairwoman 678-561-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2018-11-15 |