| NPI | 1750414439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L WILLIS Chief Executive Officer 404-349-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: GA NTP001009) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |