| NPI | 1841518867 |
|---|---|
| Doing Business As | CHURCH STREET PAVILION/VICTORY CENTER |
| Entity Type | Organization |
| Authorized Contact | E. DOUGLAS VARNEY President & CEO 423-467-3600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TN I000000006376) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN I000000006376) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |