| NPI | 1790806495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T. DODD Executive Director 615-837-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 000000291) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN L2140463331) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |