| 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 |