| NPI | 1992209811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PEARSON LEWIS CEO/Owner 770-570-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA lpc005933) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |