| NPI | 1215056734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA JONES Executive Director 229-228-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 136-523-D) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-05-22 |