| NPI | 1053319368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-716-9335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: RI 608.2) |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2025-04-14 |