| NPI | 1730756719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GLOVER Director Of Administration 770-590-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |