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 |