| NPI | 1609552843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY JOHNSON Director Of Admissions And Billing 276-601-2736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |