| NPI | 1366150799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HOWE Authorized Official 423-200-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-09-01 |