| NPI | 1598386807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FARACHE CEO 423-264-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-29 |