| NPI | 1891449641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHZAD HASHMI Owner 470-252-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |