| NPI | 1477161982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON WOOD Clinic Manager 615-556-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |