| NPI | 1346598893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE W ELLIS Atr Coordinator 901-743-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN L000000010971) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |