| NPI | 1326773714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WONDER ADAMS Owner 404-934-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-08-06 |