| NPI | 1538708433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON LLOYD Chief Financial Officer 470-781-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2021-05-13 |