NPI | 1487883138 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER D LOZANO Director Of Revenue Cycle 404-968-2663 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL011001) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2009-07-02 |
Last Update Date | 2018-03-17 |