| NPI | 1598576019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHEN TRIVETTE Chief Strategy Officer 423-914-1518 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |