| NPI | 1538638218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILAND WOODS COO 404-782-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist, Counseling | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2019-12-12 |