| NPI | 1083365886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LEWIS ROBERTS Clinical Director 865-318-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |