| NPI | 1467848168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SKINNER Authorized Representative 865-474-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN I000000016301) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-10-21 |