NPI | 1649326737 |
---|---|
Doing Business As | RIVER'S SHORE COMPREHENSIVE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: WI 1643) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WI 1643) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2024-10-25 |