NPI | 1396295127 |
---|---|
Entity Type | Organization |
Authorized Contact | BUD HEARN Owner 404-606-0030 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-10-05 |
Last Update Date | 2016-10-05 |