NPI | 1275686123 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: IN 1228-0-ASR) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IN 1228-0-ASR) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IN 1228-0-ASR) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2023-08-23 |