| NPI | 1528434149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MCKENNA President 706-878-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2016-03-30 |