| NPI | 1063013357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI MULLHOLAND President 865-558-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2022-01-24 |