| NPI | 1952093114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SIMMONS Director Of Operations 706-499-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |