| NPI | 1851090955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VINSON Chief Clinical Officer 706-951-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-11-29 |