Customized Medical Needs

Provider details

NPI number

1124361688

Entity type

Organization

Primary specialty

Substance Abuse Rehabilitation FacilityResidential Treatment Facilities

Organization subpart

No

Authorized official

Christi Davidson, Executive Director(866) 563-7772

Specialties & taxonomies

• Substance Abuse Rehabilitation FacilityPrimary324500000X

  Residential Treatment Facilities

• Speech-Language Pathologist235Z00000X

  Speech, Language and Hearing Service Providers

• Professional Counselor101YP2500XLicense 305 (TN)

  Behavioral Health & Social Service Providers

• Registered Dietitian133V00000X

  Dietary & Nutritional Service Providers

• Substance Use Disorder Rehabilitation Clinic/Center261QR0405X

  Ambulatory Health Care Facilities

• Occupational Therapy Assistant224Z00000X

  Respiratory, Developmental, Rehabilitative and Restorative Service Providers

• Physical Therapist