Organization · Type 2 NPI
Spirit Lake Recovery, LLC
Substance Abuse Rehabilitation Facility · Mc Kenzie, TN
NPI number
1114168564
Active
Practice location
1060 Old Mckenzie Rd
Mc Kenzie, TN 38201-8667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 4072 (TN) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1114168564
Spirit Lake Recovery, LLC's National Provider Identifier is 1114168564, issued on Mar 16, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mc Kenzie, TN. The record was last updated on Mar 16, 2009.