| NPI | 1568078327 |
|---|---|
| Doing Business As | GIFFORD STREET WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2023-08-11 |