NPI | 1134372162 |
---|---|
Other Name | CCS |
Entity Type | Organization |
Authorized Contact | REVE MCDAVID President 423-928-6581 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 1000000002949) |
Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: TN 1000000002949) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2014-12-02 |