| NPI | 1548882467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MICHAEL LEGENZOFF Owner 901-228-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |