| NPI | 1902656143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BOLAN CEO 615-457-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |