| NPI | 1174054795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE GARRISON President 770-655-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 3908) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |