| NPI | 1780448670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIL DAVID Owner 229-395-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-08-12 |