| NPI | 1053191866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DELLA VECCHIA Medical Director & Cmo 423-483-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-11 |