| NPI | 1508051178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY SIMPSON Director 770-787-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2010-07-08 |