| NPI | 1174798524 |
|---|---|
| Doing Business As | 10TH STREET COMPREHENSIVE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: WI 1644) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-08-10 |