| NPI | 1073154662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE VITUALLA Payor Contracting Specialist 615-282-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2022-03-08 |