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 Clinic/Center (Licence: PA 707146) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 707146) | |
Enumeration Date | 2005-07-13 |
Last Update Date | 2024-10-25 |