NPI | 1245821966 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT ARIC NELSON Medical Director 404-620-9745 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2021-01-27 |
Last Update Date | 2021-12-22 |