| NPI | 1174863047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAK SYLLA KAKE CEO 678-466-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1777-R) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: GA In Progress) | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2018-03-08 |