| NPI | 1619093101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT STUBBLEFIELD Operations Director 931-520-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TN 691) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-07-27 |