| NPI | 1104066265 |
|---|---|
| Doing Business As | WILLOWBROOKE AT TANNER |
| Entity Type | Organization |
| Authorized Contact | LEE C. SHERSETH CFO 770-836-9697 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2010-07-28 |