| NPI | 1184753543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CAMARATA WARNER Clinical Director/Executive Directo 770-898-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: GA 075-491-D) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2018-04-11 |