Organization · Type 2 NPI
Great Life Ranch, LLC
Substance Abuse Rehabilitation Facility · Dowelltown, TN
NPI number
1508211418
Active
Practice location
965 Frazier Hollow Rd
Dowelltown, TN 37059-1859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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 1508211418
Great Life Ranch, LLC's National Provider Identifier is 1508211418, issued on Apr 28, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Dowelltown, TN. The record was last updated on Apr 28, 2016.