| NPI | 1124361688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI ALEXANDER DAVIDSON Executive Director 866-563-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 101YP2500X Counselor, Professional (Licence: TN 305) | |
| 133V00000X Dietitian, Registered | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 163W00000X Registered Nurse | |
| 104100000X Social Worker | |
| 225X00000X Occupational Therapist | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-09-29 |