| NPI | 1982044095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BUTLER Business Manager 865-306-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2025-01-10 |