| NPI | 1851090351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE VITUALLA Credentialing Contracting Manager 615-282-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |