| NPI | 1205698925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINEY RAY Medical Director 404-793-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |