NPI | 1326296856 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE ENNIS MCGEE Manager 678-445-4833 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0538-0019-A) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL A-0538-0019-A) |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2008-09-09 |
Last Update Date | 2021-12-16 |