| NPI | 1972257236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA NEAL Contracting Specialist 615-281-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-06-20 |