| NPI | 1336808872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN HARDEN CEO 770-309-9417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-11-11 |