| NPI | 1770615619 |
|---|---|
| Doing Business As | MIRROR LAKE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN P FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 7378) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TN 7378) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 0000000116) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-08-28 |