| NPI | 1326517418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BOWEN Administrative Assistant 678-455-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |