| NPI | 1073053625 |
|---|---|
| Former Legal Business Name | BOWDOIN RECOVERY SERVICES |
| Entity Type | Organization |
| Authorized Contact | LUTHER BOWDOIN Controller 615-462-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN L000000018108) |
| 101YP2500X Counselor, Professional (Licence: TN L000000018108) | |
| 106H00000X Marriage & Family Therapist (Licence: TN L000000018108) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN L000000018108) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2021-08-17 |