| NPI | 1184999526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITI A IPADEOLA CEO 770-865-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |