| NPI | 1700989829 |
|---|---|
| Doing Business As | FASHION VALLEY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 37-15) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-08-10 |