| NPI | 1497031140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY J BOOTH Director 615-804-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2013-11-18 |