| NPI | 1699181420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN EDWARD BAKER CEO 615-586-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: I00000001590) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: L00000001597C) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2023-01-13 |