NPI | 1568995926 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY NELSON CEO 470-435-1329 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |