| NPI | 1417050980 |
|---|---|
| Doing Business As | INDIAN PATH PAVILION |
| Entity Type | Organization |
| Authorized Contact | MARY L KRUTAK SVP/CFO 423-431-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: TN 0000000134) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-10-15 |