| NPI | 1811995772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA 707146) |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X (Licence: PA 707146) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 707146) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-08-23 |