NPI | 1083766323 |
---|---|
Other Name | JACOA |
Entity Type | Organization |
Authorized Contact | JOE PICKENS Director 731-423-3653 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 0000000044) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2008-07-30 |