| NPI | 1831825504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SHREVE KAMAR President 865-281-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-09-01 |