| NPI | 1386964690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOBOLAJI OYEBANJO CEO 770-459-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: GA DRUG000750) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |