| NPI | 1265277073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL VEAL Owner 478-361-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-10-22 |