| NPI | 1710074083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY T RISNER Executive Director 931-796-4256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 0000000072) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 0000000072) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 0000000071) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 0000000383) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 0000000401) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 0000000170) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 0000000428) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 0000000396) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 0000000071) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 0000000076) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 0000000401) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 0000000428) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-12-09 |