| NPI | 1194491969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA NEAL Credentialing Specialist 615-281-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-06-15 |