| NPI | 1659485936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN W LEACH President 423-566-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TN 446655) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-10-09 |