| NPI | 1861931172 |
|---|---|
| Former Legal Business Name | SUBSTANCE ABUSE SERVICES |
| Entity Type | Organization |
| Authorized Contact | DARLA NICOLE JACKSON CEO 478-352-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1083) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2019-02-21 |