| NPI | 1801299334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NIKNAFS Owner, CEO 678-207-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |