| NPI | 1770011652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PAOLUCCI Facility Director 423-498-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-07-20 |