OrganizationActive
A Prodigal'S Path 2 Recovery, Inc.
NPI 1386267490 · Addiction (Substance Use Disorder) Counselor · Kingston, TN
Provider details
- NPI number
- 1386267490
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Charles Stallings, Program Manager(865) 730-6628
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
107 Paint Rock Ferry Rd
Kingston, TN 37763-2921
Phone: (865) 730-6628
Fax: (865) 730-6792
Approximate (ZIP-level) locationGet directions
Mailing address
107 Paint Rock Ferry Rd
Kingston, TN 37763-2921
Registry dates
- Enumerated
- 2020-05-22
- Last updated
- 2020-05-22
- Certified
- 2020-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.