NPI | 1790837128 |
---|---|
Doing Business As | 10TH STREET COMPREHENSIVE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: WI 1644) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WI 1644) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2024-10-25 |