| NPI | 1891142154 |
|---|---|
| Doing Business As | GIFFORD STREET WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2023-08-11 |