| NPI | 1417329053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A MACMASTER Chief Clinical Officer 615-545-7266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 1000000017205) |
| Additional Taxonomies | 261QM0801X (Licence: TN 1000000017205) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 1000000017205) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |