| NPI | 1447701743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY G HALL Chief Executive Officer 404-915-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 060-499-D) |
| Additional Taxonomies | 251S00000X (Licence: GA 003139070A) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2021-04-20 |