| NPI | 1851538573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINE ALLEYNE Program Administrator 478-788-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: GA NTP001036) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |