NPI | 1538924352 |
---|---|
Other Name | ICARUS ADDICTION CARE |
Entity Type | Organization |
Authorized Contact | JANINE ARCHULETA Administrator 615-645-3013 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-12-20 |