| NPI | 1912719022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD BOWIE Executive Director 901-331-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-04-30 |