| NPI | 1215492186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADWELL RUSTIN MCALISTER Provider 770-503-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |