| NPI | 1710640776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD JAY NASON Trustee 423-827-6092 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-06-07 |