| NPI | 1730938192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEVANA BRADSHAW Accounts Rep 470-721-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |