NPI | 1578256483 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN TODD SHARP Owner 865-407-6390 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-05-29 |
Last Update Date | 2023-05-29 |