| NPI | 1770576654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REVE MCDAVID President 423-928-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 0000000101) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-08-22 |