| NPI | 1376180216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JANE KEITH Facility Director 423-764-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2023-10-16 |