| NPI | 1497354864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEMALE ELIZABETH GRAYBILL Organizer 706-329-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-18 |