| NPI | 1851455919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA JONES Program Coordinator 770-514-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: GA 00041071) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |