| NPI | 1043797467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA FREEMAN Edi/Credentialing Specialist 615-567-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2019-08-20 |