| NPI | 1205296175 |
|---|---|
| Other Name | MARY BENSON HOUSE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO VP Of Financial Services 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |