| NPI | 1518158237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLBERT LEE HEALEY Executive Director 865-482-4826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 0000000432) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |