| NPI | 1982909503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS JACOBS Executive Director 770-493-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 044085D) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2014-10-24 |