| NPI | 1609696905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TERRY JOHNSON CEO 865-805-0567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-11-27 |