| NPI | 1639045198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLOTA SIMON-LOUIMET Owner 678-650-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |