| NPI | 1205064060 |
|---|---|
| Other Name | MARY BENSON HOUSE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO Director Of Revnue Cycle 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL011106) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2015-09-17 |