NPI | 1083166912 |
---|---|
Former Legal Business Name | LIFE OF PURPOSE MIDDLE TENNESSEE LLC |
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 |