| NPI | 1619372448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE RENE LAPOINTE Dui Court Program Director 912-662-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: GA APC003814) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |