| NPI | 1629597653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SOUTHERLAND Director Of Human Resources 865-691-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TN 1000000020009) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-07-21 |