| NPI | 1497217715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY JENNINGS Owner 770-807-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |