| NPI | 1487025557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA DICKSON Owner/Program Director 731-925-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TN L16086) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |