| NPI | 1821377235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L BRUCE President/CEO 912-352-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: GA 025-470-D) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2016-08-11 |