| NPI | 1518845346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA KENNYM Recovery Support Peer Specialist 770-707-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-29 |