| NPI | 1043828668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT ARIC NELSON Medical Director 423-208-9367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-12-22 |