| NPI | 1770153769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN TYLER JONES CEO 615-892-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-11-04 |