| NPI | 1689134231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOHN CAFFREY Medical Director 423-588-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-03-20 |