| NPI | 1699220004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CALARCO Facility CEO 615-712-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA 20A6119) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 20A6119) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA 20A6119) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2021-08-25 |