| NPI | 1861132904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DEAN Owner 931-698-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |