| NPI | 1598279432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BENTON President/Board Member 404-969-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261QM0801X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2019-06-11 |