| NPI | 1457713323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENITA DANLEY JACKSON Executive Director 404-284-4658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 044519D) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |