| NPI | 1285336446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINCOLN SHELTON Clinical Director 423-747-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-10-16 |