| NPI | 1083166912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN TYLER JONES Executive Director 615-892-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TN 1000000019022) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2021-10-15 |