| NPI | 1639618838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN C DAVIS Medical Director 865-304-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |