| NPI | 1306168430 |
|---|---|
| Doing Business As | RIVERSIDE CENTER FOR BEHAVIORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GARRON HAYCOCK Supervisor 423-308-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |