NPI | 1881906386 |
---|---|
Doing Business As | NORTH FULTON TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | CASSANDRA WANZO Medical Director 770-754-4674 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: GA NTP001016) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2010-07-13 |