| NPI | 1659475374 |
|---|---|
| Doing Business As | DBA INDIAN PATH PAVILION |
| Entity Type | Organization |
| Authorized Contact | C. STEVEN KILGORE Senior Vice President 423-915-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |