| NPI | 1538672365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET GRINSTEAD Owner 404-956-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001214A) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2019-06-24 |