| NPI | 1467912139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL TRACY KELSO President 615-663-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-12-28 |