| NPI | 1700530060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE VITUALLA Payor Contracting Specialist 615-282-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |