NPI | 1972601193 |
---|---|
Doing Business As | LIFE CENTER OF GALAX |
Entity Type | Organization |
Authorized Contact | BRIAN P FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: VA 617-01-025) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: VA 617-06-001) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-08-28 |