NPI | 1427424183 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELO SAMBUNARIS Medical Director 678-580-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |