| NPI | 1063796431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON THOMAS LINK Clinical Director 615-601-6087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 1000000008823) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: TN 1000000008823) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |