| NPI | 1477214765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UFUOMA OYIBO Director 404-333-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |