| NPI | 1720384084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PINKEY CARDEN Administrator 770-612-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: GA C0039) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |