| NPI | 1396756078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: WV 08) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WV 1234567) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-08-23 |