| NPI | 1982193215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UFUOMA OSAETIN OYIBO COO 404-594-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |