| NPI | 1194436881 |
|---|---|
| Doing Business As | PARK AVENUE |
| Entity Type | Organization |
| Authorized Contact | SCOTT SARNACKE CFO 615-442-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-05-29 |