NPI | 1700511367 |
---|---|
Doing Business As | PREVAIL RECOVERY CENTER TENNESSEE |
Entity Type | Organization |
Authorized Contact | SCOTT D HASTINGS CEO 469-693-8277 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-07-19 |
Last Update Date | 2024-09-13 |