| NPI | 1922795541 |
|---|---|
| Doing Business As | IVORY PLAINS RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BONITA DARLENE MANGRUM VP Revenue Cycle 615-637-7157 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-05-25 |