NPI | 1740036201 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN TALBOTT BIERLY COO 423-838-9330 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-04-25 |
Last Update Date | 2024-04-25 |