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