| NPI | 1588089379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUNDI SIMS Medical Assistant 706-818-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |