| NPI | 1548890494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FARACHE CEO 423-708-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |