| NPI | 1487985719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN KEELAGHAN Program Sponsor 770-612-8264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: GA NTP000032) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |