| NPI | 1871311522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN E DENKER Managing Member 470-827-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |