| NPI | 1326529157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA YVONNE WRIGHT CEO 770-875-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-12-12 |