| NPI | 1053476333 |
|---|---|
| Doing Business As | MAGNOLIA RIDGE |
| Entity Type | Organization |
| Authorized Contact | KRISTIE HAMMONDS President And CEO 423-467-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 430) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-01-10 |