| NPI | 1225697840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN DOAN Executive Director 770-609-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |