| NPI | 1427132786 |
|---|---|
| Doing Business As | PENINSULA VILLAGE A DIVISION OF PARKWEST MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN T GEPPI Executive Vice President CFO 865-374-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TN L2370761471) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN L2370761471) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |