| NPI | 1962900183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DULANY ADAMS CFO 615-265-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2021-01-22 |