| NPI | 1871658757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT STUBBLEFIELD COO 865-722-2761 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2024-01-02 |