| NPI | 1265923775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WYSONG Managing Partner 615-482-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |