| NPI | 1366976664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA DECKERT Director Of Contracting 615-519-4156 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-01-08 |