| NPI | 1417721135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS FIORE ASTORE Counselor 615-599-9917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-14 |