| NPI | 1336619220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHAWNKA MADGETT CFO 678-862-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |