| NPI | 1710646245 |
|---|---|
| Former Legal Business Name | IRIS HEALING CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | KAITLIN HARDEN President 770-309-9417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2022-08-30 |