| NPI | 1386282036 |
|---|---|
| Doing Business As | CONCORD RECOVERY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | CRISSY L SHANK Billing 931-761-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 261Q00000X |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2021-05-25 |