| NPI | 1417539255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES RAYNOR CEO 678-255-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |