| NPI | 1043984487 |
|---|---|
| Doing Business As | M25 |
| Entity Type | Organization |
| Authorized Contact | JONATHAN ADAIR Clinical Director 615-988-0365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 171000000X Military Health Care Provider | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 177F00000X Lodging | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 305R00000X Preferred Provider Organization | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2021-09-22 |