| NPI | 1376278689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA MOORE Counselor 423-716-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |