Organization · Type 2 NPI
East Tennessee Addiction Specialists
Substance Use Disorder Rehabilitation Clinic/Center · Maryville, TN
NPI number
1770080632
Active
Practice location
111 Station Dr Bldg 3
Maryville, TN 37804-4190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1770080632
East Tennessee Addiction Specialists's National Provider Identifier is 1770080632, issued on Apr 9, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Maryville, TN. The record was last updated on Jan 8, 2026.