| NPI | 1013029156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: WV 03) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-11-01 |