| NPI | 1982867040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FITZPATRICK Clinical Director 423-296-6451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TN 1000000002842) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |