| NPI | 1457515371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MICHAEL MCCARTER Manager 865-577-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 605) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |