| NPI | 1902374812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS CATTON Managing Director 770-410-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |