| NPI | 1356419097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HINZMAN Director 706-475-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 029554D) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |