| NPI | 1750415683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA D JONES Executive Director 229-228-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 136-523-D) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |