Spirit Lake Recovery, Llc Valid NPI
Organization · Substance Abuse Rehabilitation Facility · Mc Kenzie, TN
- NPI
- 1114168564
- Type
- Organization (Type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 324500000X
- License number
- 4072 (TN)
- Enumerated
- 2009-03-16
- Last updated
- 2009-03-16
Practice location
1060 Old Mckenzie Rd
Mc Kenzie, TN 38201-8667
(731) 393-0304