| NPI | 1235298720 |
|---|---|
| Doing Business As | ADVENTURE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | CRISTI L BLALOCK Director Contracting/ Compliance 423-467-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TN 315) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2025-07-01 |