NPI | 1265216683 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA JARVIS CEO 706-342-6024 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM1300X Clinic/Center, Multi-Specialty | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2023-08-24 |
Last Update Date | 2024-10-21 |