NPI | 1649897802 |
---|---|
Doing Business As | TALBOTT LEGACY CENTERS |
Entity Type | Organization |
Authorized Contact | ZACHARY CHARLES TALBOTT President 865-724-0852 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2020-07-02 |
Last Update Date | 2021-11-06 |