| NPI | 1841808342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON STOLZER Clinic Director 615-775-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |