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 |
Enumeration Date | 2012-03-19 |
Last Update Date | 2012-03-19 |