| NPI | 1558726968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON DENKER CEO 229-560-8634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: GA 074765) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: GA 074765) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 074765) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2022-01-03 |