| NPI | 1811032303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD O CARRIER Executive Director 706-737-9879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 121-524-D) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |