| NPI | 1205215779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI KAHANE Medical Director 615-567-7256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: applied for) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |