| NPI | 1891214375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA SMITH Managing Director 770-410-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: GA 060-468-D) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2024-03-08 |