| NPI | 1336636158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TEAGUE GOOD Facility Director/Owner 423-202-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: TN 1000000022019) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2019-07-24 |